Key surgical techniques in robot-assisted laparoscopic radical nephrectomy and thrombectomy for renal cell carcinoma with inferior vena cava thrombus
10.3969/j.issn.1009-8291.2023.05.001
- VernacularTitle:机器人腹腔镜下肾癌合并下腔静脉癌栓的处理（“大家泌尿网”观看手术视频）
- Author:
Shengzheng WANG
1
;
Xuepei ZHANG
1
Author Information
1. Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Journal Article
- Keywords:
inferior vena cava thrombus;
robotics;
radical nephrectomy
- From:
Journal of Modern Urology
2023;28(5):367-371
- CountryChina
- Language:Chinese
-
Abstract:
The mainstay of treatment for renal cell carcinoma with inferior vena cava (IVC) thrombus is complete surgical excision, which can be facilitated by appropriate preoperative evaluation and detailed planning. The level of tumor thrombus, the presence or absence of thrombus and the invasion of vein wall are important variables affecting surgery. For cases complicated with adherent or invasive tumor thrombus, en bloc resection of the IVC with or without venous reconstruction represents a special decision-making. This review will describe the evolving surgical techniques and key points of robotic-assisted radical nephrectomy with IVC thrombectomy.
