Retroperitoneoscopic-guided radiofrequency ablation of renal tumors.

S. E. Pautler, C. P. Pavlovich, I. Mikityansky, D. E. Drachenberg, P. L. Choyke, W. M. Linehan, B. J. Wood, M. M. Walther

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


OBJECTIVE: Minimally invasive approaches to the management of renal tumors are being studied intensively in urology. Herein, we describe the use of multiple organ-sparing techniques for the management of tumors in a patient with von Hippel Lindau disease (VHL). MATERIALS AND METHODS: A 42 year-old woman with VHL underwent a right partial adrenalectomy and a left renal radiofrequency ablation (RFA) of two renal tumors. RESULTS: A 2.2 cm solitary right adrenal pheochromocytoma was resected using a transperitoneal approach. A retroperitoneal approach to the left kidney was performed and RFA of the two renal tumors completed using sonographic guidance. On the 5-month follow-up CT scan, there was no evidence of residual adrenal tumors and both renal lesions lacked contrast enhancement. No complications occurred during the post-operative recovery. CONCLUSIONS: Multiple organ-ablative laparoscopic procedures may be performed in a single sitting. Laparoscopic partial adrenalectomy is an effective technique in patients with bilateral tumors or a familial syndrome predisposing to multiple adrenal tumors. Further study of renal RFA is required to assess the long-term durability of the procedure.

Original languageEnglish (US)
Pages (from-to)1330-1333
Number of pages4
JournalThe Canadian journal of urology
Issue number4
StatePublished - Aug 2001
Externally publishedYes

ASJC Scopus subject areas

  • Urology


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