Management of vena cava tumor thrombus dislodgement in robot-assisted laparoscopic surgery
10.3969/j.issn.1009-8291.2023.12.001
- VernacularTitle:机器人辅助腹腔镜下下腔静脉瘤栓脱落的处理（“大家泌尿网”观看手术视频）
- Author:
Ming CHEN
1
;
Kai LU
1
Author Information
1. Department of Urology, Zhongda Hospital, Southeast University, Nanjing 210009, China
- Publication Type:Journal Article
- Keywords:
renal cancer;
vena cava tumor embolus;
pulmonary embolism;
robot-assisted surgery;
laparoscopic surgery;
pulmondry angiography;
tumorembolus removal
- From:
Journal of Modern Urology
2023;28(12):1009-1012
- CountryChina
- Language:Chinese
-
Abstract:
Renal cancer complicated with inferior vena cava tumor thrombus has been difficult to manage in urological surgery, because it has a complex anatomical relationship and involves vascular blockage of vital organs such as kidney, liver and heart, as well as the blockage and reconstruction of inferior vena cava. In addition, tumor thrombus dislodgement may occur intraoperatively, leading to acute pulmonary embolism, which makes the surgery extremely difficult and risky. In this paper, we report the successful treatment of thrombus dislodgement in a case of right kidney tumor with inferior vena cava thrombus during robot-assisted laparoscopic surgery and explore the treatment methods, aiming to avoid lethal pulmonary embolism caused by tumor thrombus dislodgement.
