@Article{,
AUTHOR = {John G. Pattaras, Ross Milner},
TITLE = {Staged minimally invasive treatment of inflammatory abdominal aortic aneurysm and renal cell carcinoma},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {16},
YEAR = {2009},
NUMBER = {2},
PAGES = {4596--4598},
URL = {http://www.techscience.com/CJU/v16n2/62203},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> Laparoscopic radical nephrectomy has become an international standard of care for medium to large renal tumors. Endovascular aneurysm repair (EVAR) has been accepted as a reasonable alternative to open abdominal aortic aneurysm (AAA) repair. We report a case of minimally invasive management of two potentially lethal diseases in a single hospitalization.<br/>
<b>Patient and methods:</b> The patient is a 76-year-old male who was found to have an incidental finding of an AAA and an enhancing 9 cm left central renal mass. He was deemed to be an appropriate candidate for endovascular AAA repair and laparoscopic nephrectomy based on preoperative imaging. Secondary to mild, chronic renal insufficiency, a staged approach was planned: EVAR followed by nephrectomy.<br/>
<b>Results:</b> Successful minimally invasive treatments of the AAA and renal mass were accomplished in a staged fashion within 48 hours. The patient underwent successful EVAR for his inflammatory aneurysm and was admitted after the procedure for hydration and renal function monitoring. Two days later, a successful laparoscopic radical nephrectomy was performed. The patient was discharged post-nephrectomy day 3 and hospital day 5. Pathology revealed a T2NxMx conventional renal cell carcinoma (RCC). He has been continuously followed for 4 years postoperatively with no evidence of cancer recurrence and a shrinking aneurysm sac without leak.<br/>
<b>Conclusions:</b> We present a case of two potentially lethal disease processes previously handled in an open surgical fashion just a few short years ago. A combination of minimally invasive approaches in a staged fashion allowed a prompt patient recovery with no significant postoperative morbidity. To our knowledge, this represents the first case report of a staged minimally invasive treatment of synchronous vascular and renal pathology.},
DOI = {}
}