Combined Laparoscopic and CT Monitoring of the Ice-Ball Margin during Cryoablation for Renal Cell Carcinoma Associated with von Hippel-Lindau Disease: First Case

Takanori Sekitoa, Motoo Arakia, Takao Hiraki, Mayu Uka, Toshiyuki Komaki, Yusuke Matsuib, Toshihiro Iguchi, Satoshi Katayama, Kasumi Yoshinaga, Shogo Watari“, Yuki Maruyama, Yosuke Mitsui, Risa Kubota, Takuya Sadahira, Shingo Nishimura, Koichiro Wada, Atsushi Takamoto“, Kohei Edamura, Tomoko Sako, Yasuyuki KobayashiToyohiko Watanabe, Susumu Kanazawa, Yasutomo Nasu

Research output: Contribution to journalArticlepeer-review

Abstract

We report a 47-year-old Japanese female with 10 previous treatments for multiple bilateral renal cell carcinoma (RCC) associated with von Hippel-Lindau disease. The 14-mm right lower pole renal tumor was in contact with the right ureter. Laparoscopic cryoablation was performed to protect the ureter wrapped with gauze. Computed tomography (CT) monitoring was used to confirm the precise ≥ 6 mm ice-ball margin. There was no local progression at 6-months post-surgery. The serum creatinine has been stable. This is apparently the first report of combined laparoscopic and CT monitoring of an ice-ball formation and its margin during cryoabla- tion for RCC.

Original languageEnglish
Pages (from-to)443-448
Number of pages6
JournalActa medica Okayama
Volume74
Issue number5
Publication statusPublished - 2020
Externally publishedYes

Keywords

  • laparoscopic cryoablation
  • multiple renal masses
  • nephron-sparing surgery
  • renal cell carcinoma
  • von Hippel-Lindau disease

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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