Minimally Invasive Approach to the Supradiaphragmatic Inferior Vena Cava

Author(s):  
Dawn S. Hui ◽  
Inderbir S. Gill ◽  
Mark J. Cunningham
Author(s):  
Dawn S. Hui ◽  
Inderbir S. Gill ◽  
Mark J. Cunningham

Minimally invasive techniques for cardiac operations have evolved in safety and popularity. To our knowledge, a thoracoscopic technique for control of the inferior vena cava (IVC) has not been previously described. We report a case of a right renal cell cancer with tumor extension into the IVC. Total thoracoscopic isolation and occlusion of the IVC were performed. Intraoperative real-time transesophageal echocardiography confirmed complete cessation of caval flow upon cinching the Rummel tourniquet. As extensive intra-abdominal operations are more often being attempted laparoscopically or robotically, video-assisted thoracoscopic IVC occlusion for proximal control for tumors extending into the cava can be achieved to offer a minimally invasive thoracic approach.


2018 ◽  
Vol 22 (3) ◽  
pp. 69
Author(s):  
M. S. Mosoyan ◽  
M. A. Chernyavskiy ◽  
A. V. Chernov ◽  
M. E. Mamsurov ◽  
I. O. Chuykova

<p>Nowadays, there is a tendency in surgery to use more minimally invasive surgical procedures to decrease the risk of intra- and postoperative complications and to reach a faster rehabilitation period. We report a case of successful simultaneous minimally invasive treatment of a patient with kidney tumor. According to ultrasound examination data, the patient had a tumor in the right kidney. A computed tomography scan of the abdomen verified the tumor and detected a thrombus in the inferior vena cava lumen. Embolization of the right renal artery was performed as the first stage in the hybrid operating room. Right-side nephrectomy and thrombectomy from inferior vena cava, as the second stage, were done by using a robotic surgical system. The feature of this case is that embolization and nephrectomy were simultaneously performed during one surgical procedure. On the 10th day, the patient was discharged from the hospital without any signs of deterioration and complications. Thus, the unique work of two surgical teams proficient in mini-invasive technologies allowed to eliminate tumors and tumor thrombi in a single procedure and to reduce the bleeding, in-hospital stay, and rehabilitation period. This method will help more patients with kidney tumors in the future.</p><p>Received 28 June 2018. Revised 3 August 2018. Accepted 6 August 2018.<br /><strong>Informed consent:</strong> The patient’s informed consent to use his records for medical purposes is obtained.<br /><strong>Funding:</strong> The study did not have sponsorship.<br /><strong>Conflict of interest:</strong> The authors declare no conflict of interest.</p>


2018 ◽  
Vol 28 (2) ◽  
pp. 215-219 ◽  
Author(s):  
Cheng-Yo Yen ◽  
Shih-Chieh Yang ◽  
Hung-Shu Chen ◽  
Yuan-Kun Tu

During L3–5 instrumented spinal surgery for degenerative spondylolisthesis in a 75-year-old woman, the right L-3 pedicle screw was accidentally pushed into the retroperitoneum and then migrated to the inferior vena cava (IVC). The patient was transferred to the surgical intensive care unit, and after careful discussion with cardiology specialists, a minimally invasive endovascular technique was used to remove the migrating pedicle screw within the IVC and thus salvage this critical case.Pedicle screw instrumentation is an effective procedure, but not risk free. Every detail should be scrutinized during surgery, even instrument construction. A minimally invasive endovascular technique should be considered in this patient population.


2020 ◽  
Author(s):  
Alvise Guariento ◽  
Claudia Cattapan ◽  
Francesco Bertelli ◽  
Vladimiro Vida

ISRN Anatomy ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Shubha Srivastava ◽  
Indra Kumar ◽  
C. S. Ramesh Babu ◽  
K. K. Gupta ◽  
O. P. Gupta

Variations of course and number of renal vessels are not so uncommon and their knowledge is important for planning of minimally invasive renal surgeries. The earlier literature reports a prevalence of precaval right renal artery between 0.8% and 5%. Normally, the right renal artery passes posterior to the inferior vena cava, but it can also be precaval where it passes anterior to inferior vena cava. The multidetector row contrast enhanced computed tomography angiography allows precise evaluation of renal vasculature. The aim of this retrospective study is to determine the prevalence of precaval right renal artery. Amongst 73 MDCT scans studied, we identified 4 cases of precaval right renal artery with the prevalence being 5.48%, more than what is reported in the earlier literature. We also report a single and dominant precaval right renal artery in one of the cases, which is a rare finding. On the basis of these results, we conclude that precaval right renal artery appears to be more common and so the knowledge of this variant holds a major clinical implication in preventing misinterpretation of radiological images and proper planning of interventional procedures and minimally invasive surgeries.


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