A.R. AMIROV¹, R.Kh. GALEYEV^1,2, Sh.R. GALEYEV ^1,2, A.N. GAINULLOV²

¹Kazan State Medical Academy — Branch Campus of the RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012

²Republic Clinical Hospital, 138 Orenburgskiy trakt, Kazan Russian Federation, 420138

 Amirov A.R. ― postgraduate student of the Department of Urology and Nephrology, tel. +7-967-461-39-33, e-mail: anvar.xl@gmail.com

Galeyev R.Kh. ―  D. Med. Sc., Professor, Head of the Department of Urology and Nephrology, Head of the Department of Kidney Transplantation

Galeyev Sh.R. ―  Cand. Med. Sc., Associate Professor of the Department of Urology and Nephrology, doctor of the Department of Kidney Transplantation, tel. +7-917-237-16-50, e-mail: Shamil80@bk.ru

Gainullov A.N. ― doctor of the Department of Kidney Transplantation

 Today, the prevalence of renal cell carcinoma is 2-3% of all tumors. The classic triad of clinical symptoms (flank pain, macro-hematuria, and palpable formation in the abdominal cavity) is rare (6-10%). More than 50% of kidney tumors are discovered accidentally during imaging studies. The main criterion for choosing a method of surgical treatment is the localization and direction of tumor growth. For patients with cancer in a solitary kidney, nephrectomy can transfer them to life-long hemodialysis, or put on a waiting list for transplantation of donor kidney. The aim of the study was to assess the possibility of resection surgery in a patient with multifocal lesions of the only functioning kidney. Detecting cancer in a solitary kidney should not be the reason for refusal of surgical treatment. The method of surgical treatment should be the least traumatic. Only active surgical tactics in these patients allows us to achieve favorable treatment outcomes.

Key words: sole kidney, tumor of a solitary kidney, cold ischemia, partial nephrectomy in vivo, partial nephrectomy ex vivo.

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