دورية أكاديمية
Robotic surgery for renal tumors with inferior vena cava thrombosis: Indications and technical nuances
| العنوان: | Robotic surgery for renal tumors with inferior vena cava thrombosis: Indications and technical nuances |
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| المؤلفون: | Antonio Andrea Grosso, Fabrizio Di Maida, Sofia Giudici, Andrea Mari, Paolo Muiesan, Antonio Taddei, Riccardo Campi, Andrea Minervini |
| المصدر: | Urology Video Journal, Vol 13, Iss , Pp 100111- (2022) |
| بيانات النشر: | Elsevier, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Surgery LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Case report, Oncology, Renal cell carcinoma, Robotics, Surgery, RD1-811, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | Objective: To report our technique for robotic surgical treatment of left-side renal cell carcinoma (RCC) with level III inferior vena cava (IVC) thrombus. Patients and surgical procedure: A 47-year old man was diagnosed with a 9 × 8 × 6 cm left-side RCC with level III IVC tumor thrombus and para-aortic lymphadenopathies. The whole procedure was split up into three different steps: 1) Isolation of the left kidney and para-aortic lymphadenopathies, section of the renal artery and adrenal vessel, isolation of the left renal vein; 2) entire mobilization of the liver to allow supra-hepatic and sub-diaphragmatic control of the IVC with subsequent isolation and section of the hepatic veins; 3) isolation of the IVC until the origin of the right renal vein, isolation of the right adrenal vein, section of the left renal vein using the Endo-GIA and IVC thrombectomy. Results: Overall operative time was 600 min. IVC clamping time was 15 min. No intra- or post-operative complications occurred. Patient was discharged in 6th postoperative day. Histopathologic examination revealed a pT3cN1 clear cell RCC with rhabdoid differentiation. Conclusions: Robotic radical nephrectomy with IVC thrombectomy for level III tumor thrombus is a feasible and safe procedure in experienced hands and selected candidates. Specific technical skills and multidisciplinary approach are essential to fulfill the surgical success. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2590-0897 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2590089721000335; https://doaj.org/toc/2590-0897 |
| DOI: | 10.1016/j.urolvj.2021.100111 |
| URL الوصول: | https://doaj.org/article/ae75417dfb05407888df728d33562783 |
| رقم الأكسشن: | edsdoj.75417dfb05407888df728d33562783 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 25900897 |
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| DOI: | 10.1016/j.urolvj.2021.100111 |