Robotic Radical Right Nephrectomy and Inferior Vena Cava Tumour Thrombectomy: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
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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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 |
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1799136940780421120 |