Robot assisted radical nephrectomy with lymph node dissection for metastasis around inferior vena cava
10.3969/j.issn.1009-8291.2023.02.009
- VernacularTitle:机器人辅助肾癌根治联合腔静脉周围转移淋巴结切除术（“大家泌尿网”观看手术视频）
- Author:
Qingfeng HU
1
;
Guowei XIA
1
Author Information
1. Department of Urology, Huashan Hospital of Fudan University; Institute of Urology, Fudan University, Shanghai 200040, China
- Publication Type:Journal Article
- Keywords:
renal cell carcinoma;
lymph node metastasis;
robot assisted;
nephrectomy;
inferior vena cava
- From:
Journal of Modern Urology
2023;28(2):125-129
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To summarize the key points of robot assisted radical nephrectomy combined with resection of metastatic lymph nodes around inferior vena cava. 【Methods】 The patients undergoing the operation during Jan.2019 and Dec.2021 were analyzed and followed up. The surgical procedures and key points for right renal cancer with huge lymph node metastasis around inferior vena cava were illustrated. 【Results】 A total of 5 patients completed operation successfully, including 4 cases of clear cell carcinoma and 1 case of papillary carcinoma. The average operation time and estimated blood loss were 135 min and 300 mL, respectively, with no major complications. 【Conclusion】 It is feasible to perform robot assisted radical nephrectomy with resection of metastatic lymph nodes for selected patients of renal cancer especially with large lymph node metastasis around vena cava. The value of minimally invasive surgery in the comprehensive treatment of renal cancer deserves further attention and research.
