Left Hand-assisted Laparoscopic Nephrectomy With Renal Vein Thrombectomy for Stage T3b Renal Cell Carcinoma

A 60-year-old male was found to have an 8.0 cm left renal mass and associated renal vein thrombus on computed tomography. The thrombus extended 3 mm beyond the right aortic border to within 1.6 cm of the left border of the inferior vena cava. The patient underwent left nephrectomy with renal vein th...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2016-04, Vol.90, p.e3-e4
Main Authors: Ghareeb, George M, Kenleigh, Dorian A, Brown, James A
Format: Article
Language:English
Subjects:
Carcinoma, Renal Cell - pathology
Carcinoma, Renal Cell - surgery
Humans
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Laparoscopy - methods
Male
Middle Aged
Neoplasm Staging
Neoplastic Cells, Circulating
Nephrectomy - methods
Renal Veins - surgery
Thrombectomy - methods
Urology
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Summary:A 60-year-old male was found to have an 8.0 cm left renal mass and associated renal vein thrombus on computed tomography. The thrombus extended 3 mm beyond the right aortic border to within 1.6 cm of the left border of the inferior vena cava. The patient underwent left nephrectomy with renal vein thrombectomy using a hand-assisted laparoscopic approach. The tumor thrombus was “milked” proximally back into left renal vein, which was then divided with an endovascular stapler. Left renal vein thrombi extending to right margin of the aorta can be managed with hand-assisted laparoscopic approach.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2015.12.045