¹Senior Nacional Cancer Institute (INCA) Researcher, Rio de Janeiro, RJ, Brazil

²Anesthesiologist at the National Cancer Institute (INCA), Responsible Coreme Residence INCA, Brazil

³Anesthesiologist at the National Cancer Institute (INCA), Responsible for the CET-SBA of the National Cancer Institute, Rio de Janeiro, RJ, Brazil

⁴Resident in the 3rd year of Anesthesiology at INCA, Rio de Janeiro, RJ, Brazil

*Corresponding Author: Dr. Luiz Eduardo Imbelloni, Av. Epitácio Pessoa, 2356/203 – Lagoa, 22411-072- Rio de Janeiro, RJ – Brazil; Tel: + 55.11.99429-3637; Email: [email protected]

Received Date: August 21, 2023

Publication Date: September 04, 2023

Citation: Imbelloni LE, et al. (2023). Nephrectomy in an Infant during Intraoperative Cardiac Arrest, Requiring Prolonged Resuscitation. Case Report. Mathews J Cancer Sci. 8(3):42.

Copyright: Imbelloni LE, et al. © (2023)

ABSTRACT

Wilms' tumor is one of the main tumors in children, is characterized as a malignant renal neoplasm resulting in the abnormal reproduction of metanephric blastema cells. The incidence of the disease is higher between two and five years of age and rare after ten years. We present a case report involving a 7-month-old child with an extensive mass in the topography of the left kidney to the pelvis, with an expansive retroperitoneal lesion occupying the left hemiabdomen and displacing the aorta and inferior vena cava. Tumor resection was indicated, and after induction and intubation, the child had cardiac arrest. Resuscitation maneuvers were performed until the tumor was removed, 40 minutes later. ETCO₂ remained within normal limits during this period, and the cardiac rhythm spontaneously returned to normal as soon as the mass was removed. The child remained hospitalized for 39 days, being discharged to your residence, and seven months after the surgery she did not have any neurological sequelae and was developing normally for her age.

Keywords: Wilms Tumor; Surgery; Cardiac Arrest; Cardiopulmonary Resuscitation; Children