Autotransplantation of the kidney in locally advanced gastrointestinal stromal tumor of the duodenum
https://doi.org/10.16931/1995-5464.2024-4-129-134
Abstract
Surgical intervention remains a fundamental component of radical treatment for locally advanced gastrointestinal stromal tumors of the duodenum. The paper presents a clinical experience in the diagnosis and organ-sparing surgical treatment of a gastrointestinal stromal tumor located in the lower horizontal segment of the duodenum, which involved the left kidney. The tumor was excised en bloc along with the anatomically involved structures, and then the left kidney was isolated from the excised tissue and successfully autotransplanted to a heterotopic position. The authors argue that ex vivo isolation of the kidney from the tumor mass, followed by heterotopic autotransplantation, represents a promising organ-sparing technique in oncological surgery for locally advanced abdominal tumors. Notably, the biological characteristics of the tumor are to be considered when planning organ-sparing surgical procedures.
About the Authors
R. I. Rasulov
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Rodion I. Rasulov – Doct. of Sci. (Med.), Professor, Head of the Chair of Oncology, Irkutsk State Medical Academy of Continuing Education.
664049, Irkutsk, microdistrict Yubileiny, 100
A. A. Muratov
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Andrey A. Muratov – Cand. of Sci. (Med.), Assistant, Department of Oncology, Irkutsk State Medical Academy of Continuing Education.
664049, Irkutsk, microdistrict Yubileiny, 100
D. M. Ponomarenko
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Dmitry M. Ponomarenko – Cand. of Sci. (Med.), Assistant, Department of Oncology, Irkutsk State Medical Academy of Continuing Education.
664049, Irkutsk, microdistrict Yubileiny, 100
References
1. Chok A.Y., Koh Y.X., Ow M.Y., Allen J.C. Jr, Goh B.K. A systematic review and meta-analysis comparing pancreaticoduodenectomy versus limited resection for duodenal gastrointestinal stromal tumors. Ann. Surg. Oncol. 2014; 21 (11): 3429–3438. https://doi.org/10.1245/s10434-014-3788-1
2. Nikulin M.P., Arkhiri P.P., Vladimirova L.Yu., Meshcheryakov A.A., Nosov D.A., Stilidi I.S., Filonenko D.A. Practical recommendations for the pharmacological treatment of gastrointestinal stromal tumors. Malignant tumors: practical guidelines RUSSCO #3s2. 2023; 13 (3s2-1): 580–588. https://doi.org/10.18027/2224-5057-2023-13-3s2-1-580-588 (In Russian)
3. Arkhiri P.P., Stilidi I.S., Nered S.N., Abgaryan M.G., Nikulin M.P., Meshcheryakov A.A., Filonenko D.A., Egenov O.A., Yugai V.V., Volkov A.Yu. Surgical and combined treatment of patients with duodenal stromal tumors. Pirogov Russian Journal of Surgery = Khirurgiya. Zhurnal imeni N.I. Pirogova. 2021; 8: 11–19. https://doi.org/10.17116/hirurgia202108111 (In Russian)
4. Goh B.K., Chow P.K., Ong H.S., Wong W.K. Gastrointestinal stromal tumor involving the second and third portion of the duodenum: treatment by partial duodenectomy and Roux-en-Y duodenojejunostomy. J. Surg. Oncol. 2005; 91 (4): 273–275. https://doi.org/10.1002/jso.20311
5. Yang W.L., Yu J.R., Wu Y.J., Zhu K.K., Ding W., Gao Y., Shen Q.Y., Lv K.Z., Zhang Q., Yang X.J. Duodenal gastrointestinal stromal tumor: clinical, pathologic, immunohistochemical characteristics, and surgical prognosis. J. Surg. Oncol. 2009; 100 (7): 606–610. https://doi.org/10.1002/jso.21378
6. Winfield R.D., Hochwald S.N., Vogel S.B., Hemming A.W., Liu C., Cance W.G., Grobmyer S.R. Presentation and management of gastrointestinal stromal tumors of the duodenum. Am. Surg. 2006; 72 (8): 719–722; discussion 722–723.
7. Goh B.K., Chow P.K., Kesavan S., Yap W.M., Wong W.K. Outcome after surgical treatment of suspected gastrointestinal stromal tumors involving the duodenum: is limited resection appropriate? J. Surg. Oncol. 2008; 97 (5): 388–391. https://doi.org/10.1002/jso.20954
8. Zhou B., Zhang M., Wu J., Yan S., Zhou J., Zheng S. Pancreaticoduodenectomy versus local resection in the treatment of gastrointestinal stromal tumors of the duodenum. World J. Surg. Oncol. 2013; 11: 196. https://doi.org/10.1186/1477-7819-11-196
9. Chung J.C., Kim H.C., Hur S.M. Limited resections for duodenal gastrointestinal stromal tumors and their oncologic outcomes. Surg. Today. 2016; 46 (1): 110–116. https://doi.org/10.1007/s00595-015-1163-x
10. Rasulov R.I., Muratov A.A., Kuvshinov A.G., Songolov G.I. The experience of surgical treatment of leiomyosarcoma of the inferior vena cava and its tributaries. Grekov’s Bulletin of Surgery. 2022; 181 (4): 52–60. https://doi.org/10.24884/0042-4625-2022-181-4-52-60 (In Russian)
11. Rasulov R.I., Muratov A.A. Replantation of solitary kidney in a patient with giant primary retroperitoneal sarcoma. Siberian Journal of Oncology. 2023; 22 (1): 166–170. https://doi.org/10.21294/1814-4861-2023-22-1-166-170 (In Russian)
12. Arzumanov S.V., Polyakov N.V., Ryabov A.B., Galitskaya D.A. Kidney autotransplantation: a method for treating ureteral lesions in urological and oncological practice. Russian Journal of Transplantology and Artifcial Organs. 2022; 24 (1): 36–47. https://doi.org/10.15825/1995-1191-2022-1-36-47 (In Russian)
13. Rasulov R.I., Dvornichenko V.V., Muratov A.A. Extracorporeal renal surgery (literature review). Siberian Journal of Oncology. 2017; 16 (3): 92–98. https://doi.org/10.21294/1814-4861-2017-16-3-92-98 (In Russian)
Supplementary files
Review
For citations:
Rasulov R.I., Muratov A.A., Ponomarenko D.M. Autotransplantation of the kidney in locally advanced gastrointestinal stromal tumor of the duodenum. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(4):129-134. (In Russ.) https://doi.org/10.16931/1995-5464.2024-4-129-134
Views:
139
Email this article 