scholarly journals Volume of surgical intervention in renal cancer, complicated by invasion of tumoral thrombus into venous wall

2021 ◽  
Vol 88 (5-6) ◽  
pp. 28-35
Author(s):  
S. Sh. S. Boiko ◽  
V. І. Rusin ◽  
S. O. Boiko ◽  
V. V. Rusin
Keyword(s):  
Surgical Treatment ◽  
Renal Cancer ◽  
Renal Vein ◽  
Surgical Intervention ◽  
Vena Cava ◽  
Early Postoperative Period ◽  
Vena Cava Inferior ◽  
Vein Wall ◽  
Radical Method ◽  
Severe Degree

Objective. To determine the volume of surgical intervention on vena cava inferior in renal cancer, complicated by invasion of tumoral thrombus into the vein wall. Materials and methods. Into the investigation were included 147 patients, suffering renal cancer, complicated by tumoral venous thrombosis, who were treated surgically in the Zakarpattya Regional Clinical Hospital named after Andriy Novak or in the Zakarpattya Antitumoral Centre in 2005 - 2020 yrs. The patients’ age varied from 27 to 79 yrs old, their average age have constituted 58 yrs old. There were 97 (66%) men and 50 (34%) women. The null level of venous spread of tumoral thrombus was diagnosed in 55 (37.4%), І – in 32 (21.8%), ІІ – in 30 (20.4%), ІІІ – in 22 (15.0%), and IV - in 8 (5.4%) patients. The tumor was localized in right kidney in 51 (34.7%) patients. Surgical treatment in all the patients was performed - nephrectomy and various interventions on the vein. Longitudinal resection of the vein was performed in 55 (37.4%), resection with suturing of alloflap - in 5 (3.4%), circular resection with prosthesis “end-to-end” - in 4 (2.7%) patients. In the tumoral thrombus localization, including a renal vein, the uxtaosteum resection was performed in 100% of the patients. Results. Average duration of the operation was 165 (102 - 292) min, average volume of the blood loss - 780 (240 - 2250) ml. Mild and moderate postoperative complications in accordance to classification of Clavien-Dindo (Degree I - II) was registered in 38 (21.8%), and the severe (Degree ІІІ - V) - in 6 (4.1%) patients. Surgical complications of Degree III or complications, which demanded urgent relaparotomy, were not observed. In early postoperative period 1 patient died. General postoperative lethality have constituted 0.7%. In all the patients a laminar blood flow was preserved. In no one patient the prosthesis thrombosis, recurrence of the prosthesis thrombus, recurrence of tumoral venous thrombus or pulmonary thromboembolism. Conclusion. Radical method of surgical treatment of renal cancer, complicated by tumoral thrombosis of vena cava inferior, must include nephrectomy, cavatomy, thrombectomy, various variants of resection and prosthesis of the vein. In the null level of the tumoral thrombus venous spread the performance of uxtaosteum resection of renal vein is obligatory.

scholarly journals VENA RENAL IZQUIERDA RETRO-AÓRTICA. Retro-aortic left renal vein

2016 ◽  
Vol 5 (2) ◽  
pp. 92-96
Author(s):  
Alejandro M Russo
Keyword(s):  
Inferior Vena Cava ◽  
Abdominal Aorta ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Clinical Implications ◽  
Vena Cava Inferior ◽  
Venous Anatomy ◽  
Renal Hilum

El conocimiento de la anatomía venosa del riñón y sus variaciones es esencial para realizar cualquier tipo de procedimiento en la región. Se reporta una variante del árbol venoso del riñón izquierdo, encontrado durante la disección cadavérica, la vena renal izquierda retro-aórtica. Se trató de un tronco único originado a nivel del hilio renal izquierdo que discurrió por detrás de la arteria aorta abdominal para finalizar en la vena cava inferior. La existencia de este vaso se asocia a la embriología de la vena cava inferior. Se discuten aspectos quirúrgicos, radiológicos y embriológicos de su persistencia. Otras implicancias clínicas también son comentadas. Understanding of the renal venous anatomy and its variations is essential to perform any procedure in the region. We report a variation of the left renal venous tree found during a cadaveric dissection, the retro-aortic left renal vein. It was a unique venous trunk that emerged from the left renal hilum and traveled dorsally to the abdominal aorta before reaching the inferior vena cava. The existence of this vessel is associated to the embryology of the inferior vena cava. We discuss the surgical, radiological and possible embryological aspects. Other clinical implications are also considered. 

scholarly journals Iatrogenic Supraclavicular Nerve Injuries in Surgical Treatment of Clavicle Fractures

2015 ◽  
Vol 22 (2) ◽  
pp. 50-54
Author(s):  
A. S Zolotov ◽  
M. S Feshchenko ◽  
O. I Pak
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Surgical Intervention ◽  
Early Postoperative Period ◽  
Surgical Approaches ◽  
Nerve Injuries ◽  
Clavicle Fractures ◽  
Traumatic Damage

Incidence and pattern of disturbed sensitivity in the zone of surgical intervention was studied in 24 patients with clavicle fractures. Traumatic damage of supraclavicular nerve (not related to surgery) was observed only in 1 case. Disturbance of sensitivity in the zone of surgical intervention was noted in 21 (87.5%) patients. Mean area of anesthesia made up 44.5±29.3 cm2 (from 8.0 to 125.5 cm2). That complication developed at both horizontal and vertical surgical approaches. Intraoperatively supraclavicular nerves were visualized and preserved in 6 patients however disturbed sensitivity in early postoperative period was observed in 4 cases. Preventive isolation of supraclavicular nerves does not always ensure the preservation of sensitivity in early postoperative period.

scholarly journals Idiopathic retroperitoneal fibrosis (Ormond's disease): clinical picture, diagnosis, and option of surgical treatment

2020 ◽  
pp. 12-18
Author(s):  
A. N. Nechiporenko
Keyword(s):  
Chronic Kidney Disease ◽  
Surgical Treatment ◽  
Kidney Disease ◽  
Inflammatory Process ◽  
Retroperitoneal Fibrosis ◽  
Vena Cava ◽  
Review Of Literature ◽  
Vena Cava Inferior ◽  
Idiopathic Retroperitoneal Fibrosis ◽  
The Given

The paper provides a brief review of literature on the problem of retroperitoneal fibrosis and the author`s own observation on the diagnosis and successful surgical treatment of idiopathic Ormond`s disease. Retroperitoneal fibrosis is the development of a nonspecific inflammatory process in the adipose tissue of the retroperitoneal space with the formation of a fibrous lesion around the aorta, vena cava inferior, iliac vessels. The focus of fibrosis can spread towards the ureters and compresses them. One- or two-sided hydrouretheronephrosis leads to a chronic kidney disease. The given observation presents the diagnosis and method of the surgical treatment of a patient with idiopathic retroperitoneal fibrosis with bilateral hydrouretheronephrosis and a chronic kidney disease.

scholarly journals SURGICAL TREATMENT OF PATIENTS WITH EXTRAORGANIC TUMORS OF THE PELVIC LOCALIZATION WITH INVASION OF THE ILIAC VESSELS

2021 ◽  
pp. 27-30
Author(s):  
I. V. Kryvorotko ◽  
A. V. Chykin ◽  
M. Ye. Tymchenko ◽  
S. O. Beresnyev ◽  
T. Z. Alexandrov
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Locally Advanced ◽  
Iliac Arteries ◽  
Advanced Tumor ◽  
Pelvic Tumors ◽  
Radical Method ◽  
End To End ◽  
Narrow Space ◽  
Locally Advanced Tumor

The aim of our study was to determine the indications for expanding the scope of operations in patients with pelvic extraorgan local formations. Materials and methods. The results of surgical treatment of 7 patients with nonorgan tumors of the pelvic localization, who underwent resection on the main vessels in connection with their involvement in the tumor process, are presented. Results and discussion. A total of 7 interventions were performed on the iliac arteries — 2 resections with an end-to-end anastomosis and 5 prostheses (one case — the aorta resection with reconstruction with a bifurcation prosthesis). Patients with pelvic extraorgan tumors are a special cohort of patients, due to the presence of several organs in a narrow space, which inevitably causes them to fit snugly to the tumor. Locally advanced tumor process in extraorganic tumors involving the main vessels of the pelvis and adjacent organs is not a reason to refuse surgery, and despite the complications, repeated recurrences and previous operations, are well tolerated by patients. This is especially important due to the lack of a real alternative to surgical treatment of this group of patients. Conclusions. Surgical intervention in the treatment of pelvic inorganic tumors involving the main vessels is the only radical method of treatment. Invasion of the main arterial and venous vessels is not a contraindication to surgery in patients with pelvic tumors. Combined angioplastic interventions allow to achieve a long without recurrent period even after cytoreductive operations.

scholarly journals Nephrectomy with resection of the retrohepatic part of the inferior vena cava in a patient with kidney cancer and tumor thrombosis of the inferior vena cava

2021 ◽  
Vol 180 (2) ◽  
pp. 83-86
Author(s):  
A. I. Babich ◽  
A. V. Osipov ◽  
A. I. Narkevich ◽  
A. Е. Demko
Keyword(s):  
Surgical Treatment ◽  
Inferior Vena Cava ◽  
Kidney Cancer ◽  
Renal Cancer ◽  
Clinical Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Tumor Thrombosis

A clinical case of surgical treatment of renal cancer with tumor thrombosis of the inferior vena cava is presented. A rare operation was performed – nephrectomy and resection of the retrohepatic part of the inferior vena cava with a thrombus.

scholarly journals RADICAL LUNG RESECTION IN TREATMENT OF PULMONARY TUBERCULOSIS

2017 ◽  
Vol 2 (2) ◽  
pp. 56-59
Author(s):  
PV V Rogozhkin ◽  
EA A Borodulina
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Lung Resection ◽  
Early Postoperative Period ◽  
First Year ◽  
Drug Resistant ◽  
Reactivation Process ◽  
Acute Condition

Aim - to analyze afterhistory of TB patients who had radical lung resection. Methods of research. On the basis of the results of surgical treatment of 273 patients in 2010-2011, two groups were formed: the first group - patients who were deregistered due to their recovery; the second group -patients who had tuberculous process reactivated after surgery as recurrence or acute condition. Results. The effectiveness of tuberculosis surgical treatment in long-term period was proved in more than 90% of cases. Reactivation process started in 7.7% of cases, in patients who had multiple and extensive drug resistant MTB (53.3%), in patients who had destruction in the lung tissue (62%); in patients with fibrous-cavernous tuberculosis (33.3%), with comorbidity (52.4%), with complications in the early postoperative period (9.5%). Reactivation occurred more often in cases of wide surgical intervention, including cases with follow-up remedial thoracoplasty. If there are indications for surgical treatment, it is better to decide upon surgery within the first year of supervision.

Renal cell carcinoma extending to the renal vein and inferior vena cava: Results of surgical treatment and prognostic factors

1995 ◽  
Vol 59 (2) ◽  
pp. 94-100 ◽  
Author(s):  
Hemant B. Tongaonkar ◽  
Niteen P. Dandekar ◽  
Amish V. Dalal ◽  
Jagdeesh N. Kulkarni ◽  
Murali R. Kamat
Keyword(s):  
Renal Cell Carcinoma ◽  
Prognostic Factors ◽  
Surgical Treatment ◽  
Inferior Vena Cava ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Renal Vein ◽  
Inferior Vena ◽  
Vena Cava
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