ISSN : 2146-3123
E-ISSN : 2146-3131

Renal Sparing Surgery Using Focus Ultracision Harmonic Scalpel in Patients with Bilateral Wilms’ Tumor: Case Report
Murat Alkan 1, Cemal Parlakgümüş 1, Serdar Hilmi İskit 1, Recep Tuncer 1, Hasan Okur 1, Ünal Zorludemir 1
1Department of Pediatric Surgery, Çukurova University Faculty of Medicine, Adana, Turkey
DOI : 10.5152/balkanmedj.2013.7589
Pages : 318-320


Background: Bilateral Wilms’ tumor is rare and surgical treatment requires an individual approach. Surgical approach to the tumors located in the central part of the kidney represents a major challenge and nephrectomy is usually essential. Renal sparing surgery is difficult in such cases.

Case Report: We describe a 3 year-old female patient with bilateral Wilms’ tumor arising in the central localisation of the right and foci in the left kidney enucleated successfully with a simple and comfortable renal preserving operative technique using Focus Ultracision Harmonic Scalpel.

Conclusion: In cases when tumors are located in the central part of the kidney and partial nephrectomy is consequently very difficult, the use of a Focus Ultracision Harmonic Scalpel provides easy dissecting, enucleation, and excision of the tumor.

Keywords : Bilateral Wilms’ tumor, renal sparing, harmonic
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