Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case

Detalhes bibliográficos
Autor(a) principal: Palmela Leitão, Tito
Data de Publicação: 2022
Outros Autores: Miranda, Miguel, Oliveira, Tiago, Oliveira, Pedro, Pereira Pereira, Inês, Palma dos Reis, José, Fernandes, Isabel, Ormonde, Lucindo, Costa, Luis, Mendes Pedro, Luis, Lopes, Tomé
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.24915/aup.37.1-2.162
Resumo: Pheochromocytomas with vena cava thrombus are extremely rare, with only a few cases reported in the literature. Radical nephrectomy with adrenalectomy and inferior vena cava (IVC) thrombectomy is the treatment of choice. However, it is a challenging procedure and its surgical approach is yet to be standardized. We present a case of a 49-year-old male incidentally diagnosed with a pheochromocytoma with aggressive local invasion and a level 1 vena cava thrombus. A laparoscopic right radical nephrectomy with right adrenalectomy, IVC thrombectomy and cavorraphy. A detailed revision of the technique is performed and compared with current strategies for pheochromocytoma optimal treatment. Renal and adrenal masses with vena cava thrombus are associated with high morbidity and mortality, particularly in the case of pheochromocytoma. The management is complex but minimally invasive surgery can be performed safely in the context of an experienced multidisciplinary team.
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spelling Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma CaseNefrectomia Radical com Trombectomia da Veia Cava Laparoscópica num Caso de Feocromocitoma MalignoPheochromocytomaLaparoscopyNephrectomyRobotic Surgical ProceduresThrombectomyVena Cava, InferiorFeocromocitomaLaparoscopiaNefrectomiaProcedimentos Cirúrgicos RobóticosTrombectomiaVeia Cava InferiorPheochromocytomas with vena cava thrombus are extremely rare, with only a few cases reported in the literature. Radical nephrectomy with adrenalectomy and inferior vena cava (IVC) thrombectomy is the treatment of choice. However, it is a challenging procedure and its surgical approach is yet to be standardized. We present a case of a 49-year-old male incidentally diagnosed with a pheochromocytoma with aggressive local invasion and a level 1 vena cava thrombus. A laparoscopic right radical nephrectomy with right adrenalectomy, IVC thrombectomy and cavorraphy. A detailed revision of the technique is performed and compared with current strategies for pheochromocytoma optimal treatment. Renal and adrenal masses with vena cava thrombus are associated with high morbidity and mortality, particularly in the case of pheochromocytoma. The management is complex but minimally invasive surgery can be performed safely in the context of an experienced multidisciplinary team.Os feocromocitomas com trombo na veia cava são entidades extremamente raras, estando poucos casos descritos na literatura. Apesar da nefrectomia radical com adrenalectomia/suprarrenalectomia e trombectomia da veia cava inferior (VCI) corresponder ao tratamento de escolha, esta é uma técnica cirúrgica desafiante com uma abordagem ainda não padronizada. Apresenta-se um caso de um homem de 49 anos com diagnóstico incidental de um feocromocitoma localmente invasivo, com trombo na VCI nível 1. Foi proposta uma nefrectomia radical direita laparoscópica com adrenalectomia/suprarrenalectomia, trombectomia da VCI e cavorrafia. Neste artigo faz-se uma descrição detalhada da técnica cirúrgica e uma comparação com as estratégias atualmente utilizadas no tratamento do feocromocitoma. Tumores renais e suprarrenais/adrenais com trombo na veia cava estão associados a maior morbilidade e mortalidade, sobretudo no caso do feocromocitoma. Apesar de complexa, a cirurgia minimamente invasiva é uma opção segura no contexto de uma equipa experiente e multidisciplinar.Associação Portuguesa de Urologia2022-01-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24915/aup.37.1-2.162https://doi.org/10.24915/aup.37.1-2.162Acta Urológica Portuguesa; Vol. 37 No. 1-2 (2020): January - June; 27-31Acta Urológica Portuguesa; v. 37 n. 1-2 (2020): Janeiro - Junho; 27-312387-04192341-4022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://www.actaurologicaportuguesa.com/index.php/aup/article/view/162http://www.actaurologicaportuguesa.com/index.php/aup/article/view/162/65Copyright (c) 2022 Portuguese Association of Urologyhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessPalmela Leitão, TitoMiranda, MiguelOliveira, TiagoOliveira, PedroPereira Pereira, InêsPalma dos Reis, JoséFernandes, IsabelOrmonde, LucindoCosta, LuisMendes Pedro, LuisLopes, Tomé2023-04-09T06:45:08Zoai:oai.actaurologicaportuguesa.com:article/162Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:55:55.287388Repositório 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 Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
Nefrectomia Radical com Trombectomia da Veia Cava Laparoscópica num Caso de Feocromocitoma Maligno
title Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
spellingShingle Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
Palmela Leitão, Tito
Pheochromocytoma
Laparoscopy
Nephrectomy
Robotic Surgical Procedures
Thrombectomy
Vena Cava, Inferior
Feocromocitoma
Laparoscopia
Nefrectomia
Procedimentos Cirúrgicos Robóticos
Trombectomia
Veia Cava Inferior
title_short Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
title_full Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
title_fullStr Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
title_full_unstemmed Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
title_sort Laparoscopic Vena Cava Thrombectomy and Radical Nephrectomy in a Malignant Pheochromocytoma Case
author Palmela Leitão, Tito
author_facet Palmela Leitão, Tito
Miranda, Miguel
Oliveira, Tiago
Oliveira, Pedro
Pereira Pereira, Inês
Palma dos Reis, José
Fernandes, Isabel
Ormonde, Lucindo
Costa, Luis
Mendes Pedro, Luis
Lopes, Tomé
author_role author
author2 Miranda, Miguel
Oliveira, Tiago
Oliveira, Pedro
Pereira Pereira, Inês
Palma dos Reis, José
Fernandes, Isabel
Ormonde, Lucindo
Costa, Luis
Mendes Pedro, Luis
Lopes, Tomé
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Palmela Leitão, Tito
Miranda, Miguel
Oliveira, Tiago
Oliveira, Pedro
Pereira Pereira, Inês
Palma dos Reis, José
Fernandes, Isabel
Ormonde, Lucindo
Costa, Luis
Mendes Pedro, Luis
Lopes, Tomé
dc.subject.por.fl_str_mv Pheochromocytoma
Laparoscopy
Nephrectomy
Robotic Surgical Procedures
Thrombectomy
Vena Cava, Inferior
Feocromocitoma
Laparoscopia
Nefrectomia
Procedimentos Cirúrgicos Robóticos
Trombectomia
Veia Cava Inferior
topic Pheochromocytoma
Laparoscopy
Nephrectomy
Robotic Surgical Procedures
Thrombectomy
Vena Cava, Inferior
Feocromocitoma
Laparoscopia
Nefrectomia
Procedimentos Cirúrgicos Robóticos
Trombectomia
Veia Cava Inferior
description Pheochromocytomas with vena cava thrombus are extremely rare, with only a few cases reported in the literature. Radical nephrectomy with adrenalectomy and inferior vena cava (IVC) thrombectomy is the treatment of choice. However, it is a challenging procedure and its surgical approach is yet to be standardized. We present a case of a 49-year-old male incidentally diagnosed with a pheochromocytoma with aggressive local invasion and a level 1 vena cava thrombus. A laparoscopic right radical nephrectomy with right adrenalectomy, IVC thrombectomy and cavorraphy. A detailed revision of the technique is performed and compared with current strategies for pheochromocytoma optimal treatment. Renal and adrenal masses with vena cava thrombus are associated with high morbidity and mortality, particularly in the case of pheochromocytoma. The management is complex but minimally invasive surgery can be performed safely in the context of an experienced multidisciplinary team.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-26
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.37.1-2.162
https://doi.org/10.24915/aup.37.1-2.162
url https://doi.org/10.24915/aup.37.1-2.162
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://www.actaurologicaportuguesa.com/index.php/aup/article/view/162
http://www.actaurologicaportuguesa.com/index.php/aup/article/view/162/65
dc.rights.driver.fl_str_mv Copyright (c) 2022 Portuguese Association of Urology
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 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. 37 No. 1-2 (2020): January - June; 27-31
Acta Urológica Portuguesa; v. 37 n. 1-2 (2020): Janeiro - Junho; 27-31
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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