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.) Vol. 90; pp. e3 - e4
Main Authors:	Ghareeb, George M, Kenleigh, Dorian A, Brown, James A
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-04-2016
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.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0090-4295 1527-9995
DOI:	10.1016/j.urology.2015.12.045