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Nephrostomy-Associated Sepsis in Cancer Patients: What Are the Risk Factors? A Retrospective Cohort Study


1 Department of Urology, Başakşehir Çam and Sakura City Hospital, Istanbul, Türkiye
2 Department of Urology, Bahçelievler Memorial Hospital, İstanbul, Türkiye


DOI : 10.33719/nju1660320
New J Urol. 2025;20(3):149-158.

Abstract

Bilateral renal cell carcinoma (RCC) is a rare condition, accounting for approximately 0.3% of all kidney cancer cases. There is no consensus on the surgical approach for treating bilateral synchronous renal masses. In this article, we present a single-stage surgical approach for a 76-year-old male patient with large bilateral synchronous RCC. Surgical intervention involved performing a right-sided partial nephrectomy concurrently with a total nephrectomy on the left kidney. No metastasis or local recurrence was observed in the postoperative 30-month follow-up. In selected cases, single-stage bilateral nephrectomy/partial nephrectomy can be safely performed in experienced centers.


Abstract

Bilateral renal cell carcinoma (RCC) is a rare condition, accounting for approximately 0.3% of all kidney cancer cases. There is no consensus on the surgical approach for treating bilateral synchronous renal masses. In this article, we present a single-stage surgical approach for a 76-year-old male patient with large bilateral synchronous RCC. Surgical intervention involved performing a right-sided partial nephrectomy concurrently with a total nephrectomy on the left kidney. No metastasis or local recurrence was observed in the postoperative 30-month follow-up. In selected cases, single-stage bilateral nephrectomy/partial nephrectomy can be safely performed in experienced centers.