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Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report

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Detalhes bibliográficos
Resumo:The robotic surgery has been performed safely for inferior vena cava (IVC) thrombectomy, even in level III and IV thrombus cases. We present a successful case of a right-sided robotic radical nephrectomy and retroperitoneal lymphadenectomy with IVC tumour thrombectomy for a kidney cancer with a level III IVC thrombus. A 73-year-old diabetic female patient with a tumour of the right kidney measuring 6 cm with signs of extrarenal extension and presence of a thrombus in the right renal vein and intrahepatic IVC, and suspected involvement of retroperitoneal lymph nodes in computed tomography scan. Operation time was 340 minutes and blood loss estimated in 300 mL. There were no intercurrences in the postoperative evolution. The IVC tumour thrombectomy is still a challenging and high risk surgery. However, with experience and meticulous surgical technique, the procedure can be reproduced in selected cases.
Autores principais:Medeiros, Mariana
Outros Autores:Andrade , Vanessa; Gil, Miguel; Gomes, Aléxia; Campos Pinheiro, Luís
Assunto:Nephrectomy Carcinoma Renal Cell/surgery Robotic Surgical Procedures Thrombectomy Vena Cava, Inferior
Ano:2023
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Associação Portuguesa de Urologia
Idioma:português
Origem:Acta Urológica Portuguesa
Descrição
Resumo:The robotic surgery has been performed safely for inferior vena cava (IVC) thrombectomy, even in level III and IV thrombus cases. We present a successful case of a right-sided robotic radical nephrectomy and retroperitoneal lymphadenectomy with IVC tumour thrombectomy for a kidney cancer with a level III IVC thrombus. A 73-year-old diabetic female patient with a tumour of the right kidney measuring 6 cm with signs of extrarenal extension and presence of a thrombus in the right renal vein and intrahepatic IVC, and suspected involvement of retroperitoneal lymph nodes in computed tomography scan. Operation time was 340 minutes and blood loss estimated in 300 mL. There were no intercurrences in the postoperative evolution. The IVC tumour thrombectomy is still a challenging and high risk surgery. However, with experience and meticulous surgical technique, the procedure can be reproduced in selected cases.