结石背后竟藏双侧肾癌 “三步走”精准手术“一石三鸟”

Core Insights - A patient named Mr. Lu, previously diagnosed with bilateral kidney cancer and stones, successfully underwent a complex surgical procedure at Southeast University Affiliated Zhongda Hospital, showcasing the effectiveness of robotic-assisted surgery and multidisciplinary collaboration [1][2][3]. Patient Diagnosis and Initial Findings - Mr. Lu, aged 48, was initially diagnosed with a 1 cm stone in the right ureter and right kidney hydronephrosis during a routine check-up [2] - Subsequent imaging revealed irregularities in both kidneys, leading to a suspicion of bilateral renal tumors, specifically renal clear cell carcinoma [2] Multidisciplinary Treatment Strategy - A multidisciplinary team, including urology, radiology, anesthesia, pathology, and oncology, was formed to address the complex case of kidney cancer combined with stones [3] - A phased "three-step" treatment plan was developed: first, relieve the right kidney obstruction; second, simultaneously address the right kidney tumors; and third, defer treatment of the left kidney tumor until the right kidney function was restored [3] Surgical Procedures and Techniques - The first two phases of surgery involved robotic-assisted laparoscopic techniques to remove the stone and excise the tumors from the right kidney, which were successfully completed [4] - The left kidney tumor presented significant challenges due to its location and blood supply, requiring precise surgical techniques to minimize risks during removal [4] Postoperative Recovery and Follow-up - Post-surgery, Mr. Lu experienced a smooth recovery and was discharged, entering a regular follow-up phase with preserved kidney function [5]