Role of Microsurgery in Organ-Preserving Surgeries in Uro-oncology

Organ preservation surgery is the need of the hour in cancer management whenever it is feasible. Vascular continuity is a must for organ preservation. We found such same in this article. We retrospectively collected the data of all cases which operated for either salvage of organs such as kidney or iatrogenic injury to renal pedicle or any kind of salvage procedure done in uro-oncological cases from June 2022 to January 2023 in our hospital. Data were analysed and presented using descriptive analysis. In a total of five such cases, two required end-to-end primary repair of the renal artery and vein, and one required vein graft for renal artery. In one case, we had to flip the inferior mesenteric artery to anastomose it to the renal artery. One case of renal autotransplant was done. All cases have good outcomes in the form of renal function and oncological safety. Although a lot of urologists are trained in renal transplants and arteriovenous fistula formations, the results can further be improved with good microvascular surgeons in the team in uro-oncology settings too.