Robotic Radical Nephrectomy and Thrombectomy for Left Renal Cell Carcinoma with Renal Vein Tumor Thrombus: Superior Mesenteric Artery as an Important Strategic Dividing Landmark

2019 ◽  
Vol 33 (7) ◽  
pp. 557-563
Author(s):  
Yang Fan ◽  
Hongzhao Li ◽  
Xu Zhang ◽  
Baojun Wang ◽  
Kan Liu ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Superior Mesenteric Artery ◽  
Renal Cell ◽  
Renal Vein ◽  
Radical Nephrectomy ◽  
Mesenteric Artery ◽  
Tumor Thrombus ◽  
Robotic Radical Nephrectomy

scholarly journals Single Stage Resection of Renal Cell Carcinoma with Right Atrial Extension– A Case Report

2018 ◽  
Vol 36 (2) ◽  
pp. 77-79
Author(s):  
Syed Al Nahian ◽  
Sonjoy Biswas ◽  
Rezaul Hassan ◽  
M Zahid Hasan
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Primary Tumor ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Vena Cava ◽  
Single Stage ◽  
Right Atrial

Renal cell carcinoma (RCC) is the commonest primary tumor of the kidney which may invade through the renal vein into the inferior vena cava (IVC), and then it can extend intraluminally with subsequent tumor-thrombus formation. Here we report a case involving excision of a primary RCC with tumor-thrombus involving IVC up to right atrium with the use of extracorporeal circulation. Single stage surgical procedure was performed in collaboration with a urological team aiming complete resection of primary tumor, para-aortic lymphadenectomy and removal of IVC thrombus extending to right atrium with the help of cardiopulmonary bypass. After arresting heart, RA was opened and the mass was removed through RA from IVC and hepatic vein level. Abdominal IVC was opened and the entire residual mass was removed from below also small amount of thrombus removed from left renal vein. Postoperative venous doppler showed no residual thrombus in venous system. Histopathology report confirmed papillary renal cell carcinoma. The patient was discharged from hospital in the 12th post-operative day without any complication.J Bangladesh Coll Phys Surg 2018; 36(2): 77-79

Sign in / Sign up

Export Citation Format

Share Document