A CASE OF SURGICAL TREATMENT OF A PATIENT WITH PROSTATE CANCER UNDERGOING RENAL REPLACEMENT THERAPY

Patients with renal replacement therapy have multiple concomitant diseases that increase the risk of surgical complications. Therefore, patients with chronic kidney disease and prostate cancer are rarely considered to be candidates for radical prostatectomy.Materials and methods. A 65-year-old male patient receiving renal replacement therapy underwent a robot-assisted laparoscop-ic radical prostatectomy using the daVinci S surgical system (IntuitiveSurgical, Inc., USA).Results and discussion. The duration of the operation was 100 minutes. The volume of blood loss was 500 ml. Renal replacement therapy was resumed the day after surgery on an outpatient basis. The urethral catheter was removed on day 7, the duration of hospitalization was 1 day.Conclusion. In patients with prostate cancer and chronic kidney disease, the risk of developing postoperative complications, postoperative acute kidney damage, and a longer hospital stay are significantly increased. Performing a robot-assisted laparoscopic radical prostatectomy with renal replacement therapy minimized the length of the patient’s hospital stay and made it possible not to interrupt renal replacement therapy.

рак простаты, заместительная почечная терапия, радикальное хирургическое лечение, роботассистированная хирургия, prostate cancer, renal replacement therapy, radical surgical treatment, robot-assisted surgery