A 51 years patient was referred to KIMS was diagnosed with a large left kidney malignant lesion with enlarged para-aortic lymph nodes on CT scan. After a complete evaluation and counselling, the patient underwent laparoscopic left radical nephrectomy and lymph node dissection by Dr. Sumanta Kumar Mishra, a skilled urologist in Bhubaneswar, under the guidance and assistance of Dr. J B Jagdeb.
A large renal cell carcinoma sized 13 x 10 x 9 cm was effectively removed with laparoscopic surgery. The patient was released without issue on the third post-operative day. His biopsy revealed clean margins and no evidence of malignancy in his lymph nodes.
Large kidney cancers with enlargement of lymph nodes are difficult to operate on with laparoscopy and are performed only in a few centres. The Department of Urology, KIMS, and PBMH have been performing such complicated procedures. The Department of Urology is grateful to our founder Dr. Achyuta Samanta for the trust and support.