Off-Clamp Laparoscopic Partial Nephrectomy for a Fat-Poor Angiomyolipoma Arising from the Renal Capsule : A Case Report

الملخص EN

Renal function can be significantly preserved after nephron-sparing surgery by decreasing the intraoperative ischemic duration or by performing off-clamp surgery.

We report the case of a 56-year-old woman diagnosed with a minimal-fat angiomyolipoma arising from the renal capsule, which was successfully treated by retroperitoneoscopic partial nephrectomy without hilar clamping.

Computed tomography revealed a 16 × 13 mm homogenous lenticular mass protruding from the lateral aspect of the left kidney.

On both T1- and T2-weighted magnetic resonance images, the mass exhibited homogenous low-signal intensity and well-defined margins.

Laparoscopic magnification indicated that the exophytic tumor was attached to the renal cortex by a small peduncle.

The tumor was resected completely with negative surgical margin.

The estimated glomerular filtration rate after surgery was nearly equal to that before surgery.

Off-clamp laparoscopic partial nephrectomy is a feasible surgical option to prevent ischemic renal damage in select patients presenting with small, exophytic, and peripheral renal masses.