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Revista Colombiana de Cirugía
versão impressa ISSN 2011-7582versão On-line ISSN 2619-6107
Resumo
GUERRERO-VILLOTA, J. Cristina; DUENAS-DASILVA, Manuel F.; DUENAS-RAMIREZ, Juan Carlos e ARMANDO-IDROBO, Anuar. Minimally invasive approach to unilateral Wilms tumor: A case report and literature review. rev. colomb. cir. [online]. 2022, vol.37, n.2, pp.330-337. Epub 04-Maio-2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.921.
Introduction.
Wilms tumor is the most common abdominal neoplasm in pediatric patients. In most cases it presents as a painless unilateral mass in the abdomen. The objective of this article was to present the case of a 4-year-old patient with right unilateral Wilms tumor managed with minimally invasive surgery at the Hospital Universitario del Valle.
Methods.
Review of the patient’s clinical history and images, description of the surgical technique and review of the literature on the management of unilateral Wilms tumor.
Clinical case.
A 4-year-old female patient who consulted on April 4, 2019 with a clinical presentation of abdominal pain and sensation of mass in the right flank. Abdominal ultrasound was performed where a heterogeneous nodular image of defined contours was found in the right kidney, with a normal left kidney. A diagnosis of unilateral Wilms tumor was made and surgery was carried out using a minimally invasive approach, with good postoperative evolution.
Conclusion.
Wilms tumor is the most common abdominal neoplasm in pediatric patients. The most common presentation is a painless palpable mass. Surgery is the mainstay of management, and nephrectomy using a laparoscopic approach for selected cases, in trained hands, has sufficient efficacy, safety, and compliance with surgical and oncological principles that open surgery provides.
Palavras-chave : Wilms tumor; pediatric kidney neoplasms; nephrectomy; minimally invasive surgical procedures; laparoscopy.