V04-08 Robotic Partial Nephrectomy After Renal Mass Biopsy - The Good, the Bad and the Ugly

You have accessJournal of UrologyAdrenal/Renal Oncology I (V04)1 May 2024V04-08 ROBOTIC PARTIAL NEPHRECTOMY AFTER RENAL MASS BIOPSY - THE GOOD, THE BAD AND THE UGLY Jerry Zhuo, Yuzhi Wang, Mahdi Bazzi, and Craig Rogers Jerry ZhuoJerry Zhuo , Yuzhi WangYuzhi Wang , Mahdi BazziMahdi Bazzi , and Craig RogersCraig Rogers View All Author Informationhttps://doi.org/10.1097/01.JU.0001009444.59519.d3.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We present a case series of robotic partial nephrectomies after renal mass biopsies in order to demonstrate different implications and consequence of renal mass biopsies on intraop tumor resection. METHODS: 3 patients with renal masses who underwent pre-op renal mass biopsies and subsequent robotic partial nephrectomies were selected for this video presentation. RESULTS: Our first patient had two partial nephrectomies which were performed on separate occasions, the renal mass biopsies allowed intraop planning for successful tumor resections.Our second patient developed a perinephric hematoma after her renal mass biopsy which was discovered intraop and made the tumor resection more difficult. Our third patient developed a subcapsular hematoma that extended into the base of the tumor which caused spillage of blood products during tumor resection, making the partial nephrectomy very challenging. CONCLUSIONS: Renal mass biopsy (RMB) can be helpful in detecting malignancy (diagnostic rate>20%). However, there can be complications of RMB (11-15%). Perirenal hematoma most common (4-5%). Could add additional technical challenges to partial nephrectomy. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e198 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jerry Zhuo More articles by this author Yuzhi Wang More articles by this author Mahdi Bazzi More articles by this author Craig Rogers More articles by this author Expand All Advertisement PDF downloadLoading ...