E.S. Nabiev

https://orcid.org/0000-0002-6167-1962

Articles found: 2

  • Surgical management of renal cell carcinoma with inferior vena cava thrombosis: a clinical case (Issue № 3, 2024)

    B.B. Baimakhanov, I.K. Madadov, E.B. Belgibaev, E. S. Nabiev, B.G. Rgebayev, N. T. Saduakas, D. Akhmetov
    2024-09-30
    26–32
    Abstract

    Kidney cancer with inferior vena cava thrombosis represents a complex condition that requires meticulous surgical treatment. The most common malignant kidney tumor in adults is renal cell carcinoma. The incidence of renal cell carcinoma has increased recently due to the enhanced resolution of imaging techniques. Most cases are discovered incidentally. Renal cell carcinoma's ability to spread to vascular systems without developing metastases is a significant feature. Venous involvement can manifest as a tumor thrombus in the renal vein on the affected side, potentially extending to the right atrium or the inferior vena cava. The risk of having a tumor thrombus in the renal vein or inferior vena cava ranges from 2-10%, with the right side being more frequently affected. The level of tumor thrombus extension can reach the hepatic veins and even the right atrium. This condition thus requires a multidisciplinary approach and a rational surgical strategy, focusing on achieving favorable outcomes in such complex cases.

    Keywords

    renal cell carcinoma, inferior vena cava, thrombus, nephrectomy

  • KIDNEY TRANSPLANTATION FROM LIVING DONOR WITH RENAL MASS: CLINICAL CASE (Issue № 2, 2024)

    B.B. Baimakhanov, I.K. Madadov, E.B. Belgibaev, E.S. Nabiev, N.T. Saduakas
    2024-06-28
    25–31
    Abstract

    Introduction. Renal transplantation is the best treatment option for end-stage renal disease, but organ demand continues to overweight organ supply. The transplantation of kidneys from donors with small renal masses represent a potential avenue to expand the donor pool. We represent the clinical case of kidney transplantation from living related donor with small renal mass and performed literature review of results of these cases.

    Methods. Саse presentation of kidney transplantation from living related donor with incidental finding of small renal mass. Mass was excised and subsequently kidney was engrafted successfully. Up to date both patients are under follow up during 8 months and any signs of recurrence were seen.

    Results. Donor kidney was procuredby laparosopic hand-assissted technique. Intraoperatively small renal mass was encountered whereas during preop evaluation renal cyst was diagnosed. Renal mass was excised fully and defect was closed with interruptive suture. Histological evaluation has revealed highly differentiated renal cell carcinoma. Postoperative period was uneventful. Patient was discharged with good graft function.

    Conclusion. Careful use of kidneys from donors with single renal masses is feasible and safe, with an overall recurrence rate of less than 1.5%. The use of such kidneys could help alleviate the organ shortage crisis.

    Keywords

    Renal Mass, Transplantation