Radical nephrectomy for renal cell carcinoma of a patient with myasthenia gravis
DOI: 10.22591/magyurol.2019.4.penzese.145
Authors:
Pénzes Erzsébet dr.1,2, Nyirády Péter dr.1
1Semmelweis Egyetem ÁOK, Urológiai Klinika, Budapest (igazgató: Nyirády Péter dr.)
2Semmelweis Egyetem ÁOK, Aneszteziológiai és Intenzív Terápiás Klinika, Budapest (igazgató: Gál János dr.)
Summary
Introduction: Nephrectomy is an important part of onco- logical treatment of renal tumour. Other illnesses for example myasthenia gravis cannot cause difficulty. Myasthenia gravis is an autoimmune disease characterized by the production of antibodies against the acetylcholine receptor at the neuromus- cular junction with ocular, bulbar, respiratory symptoms.
Case report: A 66-year old man has treated for 13 years successfully. The prolonged operation time, anaesthetic agents can cause difficulties. Anaesthesiologists need to pay attention to perioperative respiratory failure which claim to intensive care unit.
Conclusion: Nephrectomy for renal cell carcinoma not only improves the quality of life, but also contributes to the success of subsequent oncology treatment. It is important to have an accurate understanding of the underlying conditions, and the balance between anaesthesia and post-operative care.