COMPUTED-TOMOGRAPHY AFTER ENUCLEATION OF RENAL TUMORS

Two weeks to 120 months after enucleation of renal tumours the postoperative defects were correctly localized by renal computed tomography in 34 patients. Typical defect morphology was either wedge-shaped or concave. No dependence on tumour localization, tumour size, operative technique or a certain surgeon was observed. The cortical defects were smaller (mean 2.0 cm) than the original, prominent tumours (mean 3.4 cm). In small defects without tension suture of the capsule is sufficient, leading to minor defects. Larger defects were closed with a retroperitoneal or free peritoneal fat flap resulting in larger residual defects. In case of intra- or postoperative bleeding, CT could demonstrate parenchymatous or perirenal haematomas or delayed perfusion of adjacent parenchyma. In one patient a recurrent tumour was correctly diagnosed, different postoperative complications (such as abscesses) were not observed.