Abstract
A fifty-five year old man who had been maintained on hemodialysis for and half years due to chronic renal failure demonstrated bilateral small cell renal carcinomas on annual CT examination. He had no local or distant metastasis and underwent bilateral nephrectomy by a hand assisted laparoscopic procedure. Both kidneys were safely removed through a 7.5cm-long midline incision with 5 laparoscopic ports. Surgical duration was 345 min. The resected bilateral kidneys were investigated pathologically along with sufficient Gerota's fat attached and renal cell carcinoma was detected, G1>2, pT1a, pNx. Postoperative recovery was uneventful. The hand assisted procedure facilitates not only good postoperative recovery but also satisfactory pathological findings with a freely-selected access wound, compared to both an open procedure and solely laparoscopic procedure.
