Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
DOI:
https://doi.org/10.24915/aup.197Keywords:
Nephrectomy, Carcinoma, Renal Cell/surgery, Robotic Surgical Procedures, Thrombectomy, Vena Cava, InferiorAbstract
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.
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