The potential of endovideosurgical technologies for simultaneous ipsilateral presentation of a kidney tumor and kidney stone

AIM: To determine the treatment strategy in patients with kidney tumors co-occurring with ipsilateral kidney stones. MATERIALS AND METHODS: During the period from 2006 to 2015, a combination of kidney tumor and urolithiasis was detected in 159 (11.5%) patients. Of these, 61 patients had indications for surgical treatment for both diseases at the time of hospitalization. The article analyzes the surgical treatment results of 14 patients with ipsilateral combination of kidney stone and kidney tumors and shows the potential of endovideosurgical technologies in managing this category of patients. RESULTS: The surgical treatment for stones was initially conducted in 3 (21.4%) patients, 4 (28.6%) patients underwent the kidney tumor surgery at the first stage, and the remaining 7 (50.0%) patients underwent one-stage surgery for both diseases. Despite the co-occurrence of two pathologies in one kidney, only 2 patients (14.3%) underwent an organ-removing operation. DISCUSSION: Combined minimally invasive organ-sparing surgery for unilateral combination of the kidney stone and kidney tumor is the most preferable treatment option, allowing the patient to get rid of both the tumor and the kidney stone within one anesthesia session. One-stage laparoscopic kidney resection with pyelolithotomy or calycolithoextraction allows preventing possible complications associated with the postoperative stone migration and eliminates the need for repeat surgery.