Transabdominal Surgical Approach in the Management of Renal Tumors Involving the Retrohepatic Inferior Vena Cava

2000 ◽  
Vol 14 (5) ◽  
pp. 436-443 ◽  
Author(s):  
Jose A. Gonzalez-Fajardo ◽  
Ernesto Fernandez ◽  
Jesús Rivera ◽  
Alejandro Pelaz ◽  
Javier Gonzalez-Zarate ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Surgical Approach ◽  
Inferior Vena ◽  
Vena Cava ◽  
Renal Tumors ◽  
Retrohepatic Inferior Vena Cava

scholarly journals Resection of Large Urological Tumors With or Without Inferior Vena Cava Extension in Jehova's Witnesses

2020 ◽  
Vol 7 ◽  
Author(s):  
Gaetano Ciancio ◽  
Javier Gonzalez
Keyword(s):  
Blood Loss ◽  
Inferior Vena Cava ◽  
Surgical Approach ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Perioperative Complications ◽  
Vena Cava ◽  
Renal Tumors ◽  
Adrenal Tumors ◽  
Estimated Blood Loss

Background: Renal and adrenal tumors with/without tumor thrombus in the inferior vena cava (IVC) pose a challenge to the surgeon due to the potential for massive hemorrhage and tumor thromboemboli. The situation would be more critical for Jehovah's Witness (JW) patients which refuse blood transfusion. A transplant-based (TB) approach to these tumors in JWs would result a safe surgical method, providing limited blood loss and perioperative complications. We report our experience using a TB surgical approach in JW harboring large adrenal/renal tumors with/without tumor thrombus trying to determine its usefulness in this setting.Patients and Methods: From 2003 to 2011, 7 patients underwent resection of renal/adrenal tumors with/without tumor thrombus in the IVC by means of a TB approach. Thrombus level was renal (n = 2), retrohepatic (n = 1), and suprahepatic (n = 1). The remaining 3 patients did not present thrombus. No pre-operative optimization or cell-saver were used. Estimated blood loss, perioperative complications (Clavien-Dindo and cause), hemoglobin/hematocrit loss, and length of stay were considered main outcomes.Results: The intervention was successfully completed without transfusion in all cases. Operative time and blood loss were 2.5 h (range: 1.83–5.75) and 150 cc (range: 100–750), respectively. No major post-operative complications were registered. However, minor complications were detected in 57% of the patients included. Median hemoglobin loss was 1.13 mg/dL, which translated a median hematocrit loss of 2.3%. Patients were discharged in a median of 7 days (range 5–20).Conclusions: A TB-surgical approach provides enhanced retroperitoneal exposure and optimal vascular control, thus limiting operative blood loss or major complication development, thus resulting useful in JWs.

Feasibility of Retrohepatic Inferior Vena Cava Resection Without Reconstruction for Hepatic Alveolar Echinococcosis

2020 ◽  
pp. 000313482095145
Author(s):  
Bo Ran ◽  
Yusufukadier Maimaitinijiati ◽  
Aimaiti Yasen ◽  
Tieming Jiang ◽  
Ruiqing Zhang ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Inferior Vena Cava ◽  
Collateral Circulation ◽  
Alveolar Echinococcosis ◽  
Inferior Vena ◽  
Vena Cava ◽  
Average Hospital ◽  
Hepatic Alveolar Echinococcosis ◽  
Retrohepatic Inferior Vena Cava

This study evaluates the feasibility of retrohepatic inferior vena cava (RHIVC) resection without reconstruction in patients with end-stage hepatic alveolar echinococcosis (AE). Four hundred and fifty-seven patients diagnosed with hepatic AE and who underwent surgical resections between January 2010 and October 2018 were retrospectively analyzed. Nine patients receiving RHIVC resection without reconstruction were included in this study. Among the patients, 5 were male and 4 female. Mean follow-up time was 64.4 months (18-95). In this series, adequate collateral circulation was formed before operation in all patients, and 7 cases underwent ex vivo liver resection and autotransplantation (ELRA) and 2 cases underwent extended right hemi-hepatectomy. Average standard liver volume, graft volume, surgical time, and anhepatic phase in ELRA group patients was 1144 ± 127 cm3, 740 ± 235 cm3, 16.8 ± 4.1 hours, and 337.4 ± 108.65 minutes respectively. Average hospital stay time for all patients was 45 ± 36.4 days. There were no intraoperative deaths. The 30-day mortality rate was 11.1%, and total mortality rate was 22.2%. Postoperative complications occurred in 4 patients. During follow-up, no relapsed AE lesions were found. RHIVC resection without reconstruction is a feasible way for hepatic AE patients with adequate collateral circulation. Careful protection of collateral venous is the key factor for successful operation.

scholarly journals Retrohepatic inferior vena cava leiomyosarcoma: How to expose?

2020 ◽  
Vol 157 (2) ◽  
pp. 165-166
Author(s):  
P. Senellart ◽  
C. Vanbrugghe ◽  
I. Aleksic
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Retrohepatic Inferior Vena Cava

Aneurysm of the retrohepatic inferior vena cava

2013 ◽  
Vol 38 (1) ◽  
pp. 58-59 ◽  
Author(s):  
F. Le Moigne ◽  
J. Jarry ◽  
P. Michel ◽  
T. Vitry ◽  
A. Rode
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Retrohepatic Inferior Vena Cava

Endovascular Treatment of Iatrogenic Injury to the Retrohepatic Inferior Vena Cava

2014 ◽  
Vol 28 (7) ◽  
pp. 1794.e13-1794.e15 ◽  
Author(s):  
Charles S. Briggs ◽  
Omar C. Morcos ◽  
Carla C. Moriera ◽  
NavYash Gupta
Keyword(s):  
Inferior Vena Cava ◽  
Endovascular Treatment ◽  
Inferior Vena ◽  
Vena Cava ◽  
Iatrogenic Injury ◽  
Retrohepatic Inferior Vena Cava

Management of Retrohepatic Inferior Vena Cava Injury during Hepatectomy for Neoplasms

2004 ◽  
Vol 28 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Shen Fen ◽  
Li Ai-jun ◽  
Wu Meng-chao ◽  
Yang Guang-shun ◽  
Chen Han
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Retrohepatic Inferior Vena Cava

scholarly journals Surgical Approach to a Large Left Adrenocortical Mass with Associated Tumour Thrombosis of the Left Renal Vein: Preservation of the Ipsilateral Kidney

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Manuel Pérez Utrilla ◽  
Carlos Nuñez Mora ◽  
Alejandro Rojo Sebastián ◽  
Pedro M. Cabrera Castillo ◽  
José M. García Mediero
Keyword(s):  
Renal Function ◽  
Inferior Vena Cava ◽  
Surgical Approach ◽  
Renal Vein ◽  
Adrenal Mass ◽  
Inferior Vena ◽  
Elective Surgery ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Tumour Thrombus

A sixty-years-old male with diagnosis of a left adrenal mass ( mm) with associated tumour thrombosis of the left renal vein with no clear signs of thrombosis of the inferior vena cava was admitted for elective surgery Finally an adrenalectomy and excision of tumour thrombus preserving the ipsilateral kidney was made. Despite of the complex vascular management, this kind of approaches allow to preserve normal renal function in patients with future nephrotoxic treatment like cisplatin.

Sign in / Sign up

Export Citation Format

Share Document