Kidney re-resections 5 years after extracorporeal resections

Abstract

The possible way to solve the problems associated with a risk from non-radical tumor removal, inadequate repair and a drastic reduction in renal function after long-term technically challenging in situ parenchymal ischemia resections is a surgical intervention into the kidney removed from the body, which has been preserved by the procedure developed for donor organs, during hypothermia that promotes a severe decrease in the intensity of oxygen-dependent processes in the renal epitheliocytes, followed by autografting of the resected kidney. The main advantages of the extracorporeal technique are the excellent ex corpora visualization of renal structures and the unrestricted time of surgery with good anti-ischemic protection. Resurgery after routine (in situ) resections yields good long-term oncological and functional results in correctly selected patients. Repeated tumor removal after extracorporeal kidney resection is a technically challenging surgical intervention undescribed in the literature.