Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report

Detalhes bibliográficos
Autor(a) principal: Medeiros, Mariana
Data de Publicação: 2023
Outros Autores: Andrade , Vanessa, Gil, Miguel, Gomes, Aléxia, Campos Pinheiro, Luís
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.24915/aup.197
Resumo: The robotic surgery has been performed safely for inferior vena cava (IVC) thrombectomy, even in level III and IV thrombus cases. We present a successful case of a right-sided robotic radical nephrectomy and retroperitoneal lymphadenectomy with IVC tumour thrombectomy for a kidney cancer with a level III IVC thrombus. A 73-year-old diabetic female patient with a tumour of the right kidney measuring 6 cm with signs of extrarenal extension and presence of a thrombus in the right renal vein and intrahepatic IVC, and suspected involvement of retroperitoneal lymph nodes in computed tomography scan. Operation time was 340 minutes and blood loss estimated in 300 mL. There were no intercurrences in the postoperative evolution. The IVC tumour thrombectomy is still a challenging and high risk surgery. However, with experience and meticulous surgical technique, the procedure can be reproduced in selected cases.
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spelling Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case ReportNefrectomia Radical Direita Robótica com Trombectomia da Veia Cava Inferior: Caso ClínicoCarcinoma de Células Renais/cirurgiaNefrectomiaProcedimentos Cirúrgicos RobóticosTrombectomiaVeia Cava InferiorNephrectomyCarcinomaRenal Cell/surgeryRobotic Surgical ProceduresThrombectomyVena Cava, InferiorThe robotic surgery has been performed safely for inferior vena cava (IVC) thrombectomy, even in level III and IV thrombus cases. We present a successful case of a right-sided robotic radical nephrectomy and retroperitoneal lymphadenectomy with IVC tumour thrombectomy for a kidney cancer with a level III IVC thrombus. A 73-year-old diabetic female patient with a tumour of the right kidney measuring 6 cm with signs of extrarenal extension and presence of a thrombus in the right renal vein and intrahepatic IVC, and suspected involvement of retroperitoneal lymph nodes in computed tomography scan. Operation time was 340 minutes and blood loss estimated in 300 mL. There were no intercurrences in the postoperative evolution. The IVC tumour thrombectomy is still a challenging and high risk surgery. However, with experience and meticulous surgical technique, the procedure can be reproduced in selected cases.A cirurgia robótica usada na trombectomia da veia cava inferior (VCI) tem sido realizada com segurança, mesmo em casos de trombos nível III e IV.Apresentamos um caso de tumor do rim com trombo na veia cava de nível III submetido com sucesso a nefrectomia radical direita com trombectomia da veia cava inferior e linfadenectomia retroperitoneal por via laparoscópica assistida por robot. Trata-se de uma senhora de 73 anos com um tumor do rim direito com cerca de 6 cm com sinais de extensão extrarenal e presença de um trombo da veia renal direita e veia cava inferior intrahepática, com suspeita de envolvimento de gânglios retroperitoneais em tomografia computorizada. O tempo operatório foi de 340 minutos e as perdas estimadas em 300 mL. Não houve intercorrências no pós-operatório.A trombectomia tumoral da VCI mantém-se uma cirurgia desafiante e de alto risco. No entanto, com experiência e técnica cirúrgica meticulosa com apoio do robot, o procedimento pode ser exequível em casos devidamente selecionados.Associação Portuguesa de Urologia2023-07-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24915/aup.197https://doi.org/10.24915/aup.197Acta Urológica Portuguesa; Vol. 38 No. 1-2 (2023): January - December 2021-2023; 62-66Acta Urológica Portuguesa; v. 38 n. 1-2 (2023): Janeiro - Dezembro 2021-2023; 62-662387-04192341-4022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://www.actaurologicaportuguesa.com/index.php/aup/article/view/197http://www.actaurologicaportuguesa.com/index.php/aup/article/view/197/69Copyright (c) 2023 Portuguese Association of Urologyhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessMedeiros, MarianaAndrade , VanessaGil, MiguelGomes, AléxiaCampos Pinheiro, Luís2024-03-10T07:17:23Zoai:oai.actaurologicaportuguesa.com:article/197Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:44:28.239604Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
Nefrectomia Radical Direita Robótica com Trombectomia da Veia Cava Inferior: Caso Clínico
title Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
spellingShingle Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
Medeiros, Mariana
Carcinoma de Células Renais/cirurgia
Nefrectomia
Procedimentos Cirúrgicos Robóticos
Trombectomia
Veia Cava Inferior
Nephrectomy
Carcinoma
Renal Cell/surgery
Robotic Surgical Procedures
Thrombectomy
Vena Cava, Inferior
title_short Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
title_full Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
title_fullStr Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
title_full_unstemmed Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
title_sort Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
author Medeiros, Mariana
author_facet Medeiros, Mariana
Andrade , Vanessa
Gil, Miguel
Gomes, Aléxia
Campos Pinheiro, Luís
author_role author
author2 Andrade , Vanessa
Gil, Miguel
Gomes, Aléxia
Campos Pinheiro, Luís
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Medeiros, Mariana
Andrade , Vanessa
Gil, Miguel
Gomes, Aléxia
Campos Pinheiro, Luís
dc.subject.por.fl_str_mv Carcinoma de Células Renais/cirurgia
Nefrectomia
Procedimentos Cirúrgicos Robóticos
Trombectomia
Veia Cava Inferior
Nephrectomy
Carcinoma
Renal Cell/surgery
Robotic Surgical Procedures
Thrombectomy
Vena Cava, Inferior
topic Carcinoma de Células Renais/cirurgia
Nefrectomia
Procedimentos Cirúrgicos Robóticos
Trombectomia
Veia Cava Inferior
Nephrectomy
Carcinoma
Renal Cell/surgery
Robotic Surgical Procedures
Thrombectomy
Vena Cava, Inferior
description The robotic surgery has been performed safely for inferior vena cava (IVC) thrombectomy, even in level III and IV thrombus cases. We present a successful case of a right-sided robotic radical nephrectomy and retroperitoneal lymphadenectomy with IVC tumour thrombectomy for a kidney cancer with a level III IVC thrombus. A 73-year-old diabetic female patient with a tumour of the right kidney measuring 6 cm with signs of extrarenal extension and presence of a thrombus in the right renal vein and intrahepatic IVC, and suspected involvement of retroperitoneal lymph nodes in computed tomography scan. Operation time was 340 minutes and blood loss estimated in 300 mL. There were no intercurrences in the postoperative evolution. The IVC tumour thrombectomy is still a challenging and high risk surgery. However, with experience and meticulous surgical technique, the procedure can be reproduced in selected cases.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-06
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.24915/aup.197
https://doi.org/10.24915/aup.197
url https://doi.org/10.24915/aup.197
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv http://www.actaurologicaportuguesa.com/index.php/aup/article/view/197
http://www.actaurologicaportuguesa.com/index.php/aup/article/view/197/69
dc.rights.driver.fl_str_mv Copyright (c) 2023 Portuguese Association of Urology
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Portuguese Association of Urology
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Portuguesa de Urologia
publisher.none.fl_str_mv Associação Portuguesa de Urologia
dc.source.none.fl_str_mv Acta Urológica Portuguesa; Vol. 38 No. 1-2 (2023): January - December 2021-2023; 62-66
Acta Urológica Portuguesa; v. 38 n. 1-2 (2023): Janeiro - Dezembro 2021-2023; 62-66
2387-0419
2341-4022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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