摘要：In a patient with malignancy confined to the upper or lower pole of kidney, nephron sparing surgery can be performed by isolating and ligating the segmental arterial branch while allowing unimpaired perfusion to rest of the kidney from the main renal artery.1
We report a case of a 65 year old male, with a past history of radical nephrectomy who developed asynchronous renal cell carcinoma in his solitary kidney and underwent in-situ nephron sparing surgery.
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