scholarly journals Feasibility of single position laparoscopic radical nephrectomy and tumor thrombectomy for left renal cell carcinoma with high-risk Mayo grade 0 and 1 tumor thrombus

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adili Keranmu ◽  
Mingshuai Wang ◽  
Yajian Li ◽  
Feiya Yang ◽  
Wasilijiang Wahafu ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
High Risk ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
The Mean

Abstract Background To explore the feasibility of single-position laparoscopic radical nephrectomy (LRN) and tumor thrombectomy for left renal cell carcinoma with high-risk Mayo 0 and 1 tumor thrombus (TT). Methods All patients with left renal cell carcinoma and venous TT (high-risk Mayo grade 0 and 1) who were performed single-position LRN and tumor thrombectomy were involved. After the renal artery was controlled by Hem-o-lok, the left renal vein was dissected through descending colon mesentery. The left renal vein was divided by EndoGIA for high-risk Mayo grade 0 TT. For Mayo grade 1 TT, part of the inferior vena cava was blocked by a bulldog clamp after milking the TT into the left renal vein and the inferior vena cava was sutured after complete excision of the TT. Results 3 patients were involved and operations were performed successfully without conversion to open surgery. The mean operation time was 136 min and the mean estimated blood loss was 60 mL. No postoperative complications occurred. Conclusions It is feasible to control left renal vein and partial inferior vena cava through descending colon mesentery in a single position during LRN and tumor thrombectomy for the treatment of high-risk Mayo grade 0 and 1 TT.

Prognostic Value of Renal Vein and Inferior Vena Cava Involvement in Renal Cell Carcinoma

2009 ◽  
Vol 55 (2) ◽  
pp. 452-460 ◽  
Author(s):  
Bernd Wagner ◽  
Jean-Jacques Patard ◽  
Arnaud Méjean ◽  
Karim Bensalah ◽  
Grégory Verhoest ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Prognostic Value ◽  
Inferior Vena ◽  
Vena Cava

Laparoscopic Management of Advanced Renal Cell Carcinoma With Renal Vein and Inferior Vena Cava Thrombus

Urology ◽  
2014 ◽  
Vol 83 (4) ◽  
pp. 812-817 ◽  
Author(s):  
Rahul Kumar Bansal ◽  
Hin Yu Vincent Tu ◽  
Darrel Drachenberg ◽  
Bobby Shayegan ◽  
Edward Matsumoto ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Inferior Vena ◽  
Vena Cava ◽  
Advanced Renal Cell Carcinoma ◽  
Laparoscopic Management ◽  
Inferior Vena Cava Thrombus

Renal Vein and Inferior Vena Cava Tumor Thrombus in Renal Cell Carcinoma

1992 ◽  
Vol 16 (2) ◽  
pp. 240-247 ◽  
Author(s):  
Douglas A. Kallman ◽  
Bernard F. King ◽  
Robert R. Hattery ◽  
J. William Charboneau ◽  
Richard L. Ehman ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava

Inferior vena cava thrombus recurrence after radical nephrectomy in renal cell carcinoma.

2015 ◽  
Vol 33 (7_suppl) ◽  
pp. 511-511
Author(s):  
Caroline Kauffmann ◽  
David A. Pfister ◽  
Daniel Porres ◽  
Axel Heidenreich
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Radical Nephrectomy ◽  
Inferior Vena ◽  
Vena Cava ◽  
Primary Therapy ◽  
The Mean

511 Background: Local recurrence after radical nephrectomy in renal cell carcinoma occurs in about 2-4% of the patients. An isolated intracaval thrombus is described in only very few cases. We report about our experience in the diagnosis and theapy of this random entity. Methods: 5 patients (2f, 3m) were referred to our institution with the diagnosis of an IVC thrombus recurrence. All patients had underwent a radical nephrectomy 1-9 years before the relapse. In 3 patients, the thrombus was diagnosed within the routine follow up, another 2 presented with swelling/deep vein thrombosis. The staging showed no other metastases. Results: The mean patient age at time of diagnosis was 73.8 (70-81) years. 2 patients presented with a level II thrombus, 2 with level III and one with a level IV thrombus. We could resect the thrombus completely in 4 cases and close the cava with a running suture. In one case we had to resect the inferior vena cava completely and replace it with a gortex prosthesis. The mean blood loss was 1.7 (0-8) liters at an operating time of 5.5 (4.3-7.6) hours. The mean follow up was 3.5 (0.5-8) years, until today occured one case of pulmonal metastatic disease. Significant perioperative complications classified after Clavien-Dindo occured in one case with an intraoperative bleeding and rupture oft he spleen that required a mass-transfusion. Conclusions: Although it is a technical demanding procedure, the surgical resection of a recurrent vena cava thrombus is the method of choice with only a little perioperative morbidity and high oncological effectivity. This random type of recurrent disease illustrates the importance of an adequate primary therapy as well as a regularly follow up after cava-involvement.

Management of Renal Cell Carcinoma With Tumor Thrombus in Renal Vein and the Inferior Vena Cava

2010 ◽  
Vol 24 (8) ◽  
pp. 1089-1093 ◽  
Author(s):  
Jun Qi ◽  
Zhengqin Gu ◽  
Fang Chen ◽  
Haibo Shen ◽  
Jianhua Chen ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava

546 PROGNOSIS VALUE OF RENAL VEIN (RV) AND INFERIOR VENA CAVA (IVC) INVOLVEMENT IN RENAL CELL CARCINOMA (RCC)

2007 ◽  
Vol 6 (2) ◽  
pp. 159 ◽  
Author(s):  
B. Wagner ◽  
J.J. Patard ◽  
A. Méjean ◽  
R. Zigeuner ◽  
K. Bensalah ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Inferior Vena ◽  
Vena Cava

scholarly journals Non-Familial Synchronous Bilateral Renal Cell Carcinoma with Bilateral Synchronous Renal Vein Extension and Inferior Vena Cava Thrombus

2019 ◽  
Vol 13 (1) ◽  
pp. 51-53
Author(s):  
Wilson Lin ◽  
Kara L. Watts ◽  
Meenakshi Davuluri ◽  
Ahmed Aboumohamed
Keyword(s):  
Renal Cell Carcinoma ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Inferior Vena ◽  
Clinical Stage ◽  
Vena Cava ◽  
Familial Predisposition ◽  
Bilateral Renal Cell Carcinoma

Bilateral renal cell carcinoma with tumor thrombus extension into the renal vein and/or inferior vena cava - clinical stage T3a+ - is rare. The majority of these cases arise due to a genetic predisposition. We present a case report of a 47-year-old male with bilateral, synchronous renal cell carcinoma with bilateral renal vein and inferior vena cava tumor thrombi with no identifiable familial predisposition.

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