Intra-renal mass. laparoscopic management

A 55-year-old diabetic man with a 4-cm right renal mass which was found incidentally in ultrasonography.

Ultrasound study

CT scan with IV contrast 

 Plan?

Biopsy?

Radical nephrectomy

Open partial nephrectomy

Robotic partial nephrectomy

Laparoscopic partial nephrectomy

The patient was scheduled for laparoscopic partial nephrectomy.

Planned to use intra-operative ultrasonography using laparoscopic probe

The probe did not work.

Plan?

Laparoscopic radical nephrectomy

Convert to open partial nephrectomy

Continue laparoscopy; How?

Performed by Dr. Mahammad Hadi radfar

Associate professor of urology,

Fellowship of endourology and urolaparoscopy

SBMU