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Laparoscopic Radical Nephrectomy With Level II Vena Caval Thrombectomy: Survival Porcine Study

2002; Lippincott Williams & Wilkins; Volume: 168; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(05)64232-2

1527-3792

Amr Fergany, Inderbir S. Gill, Dana Schweizer, Jihad Kaouk, HAZEM ABOU ElFETTOUH, Edward E. Cherullo, Anoop Meraney, Gyung Tak Sung,

Vascular anomalies and interventions

No AccessJournal of UrologyINVESTIGATIVE UROLOGY1 Dec 2002Laparoscopic Radical Nephrectomy With Level II Vena Caval Thrombectomy: Survival Porcine Study AMR F. FERGANY, INDERBIR S. GILL, DANA K. SCHWEIZER, JIHAD H. KAOUK, HAZEM ABOU ElFETTOUH, EDWARD E. CHERULLO, ANOOP M. MERANEY, and GYUNG TAK SUNG AMR F. FERGANYAMR F. FERGANY , INDERBIR S. GILLINDERBIR S. GILL , DANA K. SCHWEIZERDANA K. SCHWEIZER , JIHAD H. KAOUKJIHAD H. KAOUK , HAZEM ABOU ElFETTOUHHAZEM ABOU ElFETTOUH , EDWARD E. CHERULLOEDWARD E. CHERULLO , ANOOP M. MERANEYANOOP M. MERANEY , and GYUNG TAK SUNGGYUNG TAK SUNG View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64232-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Inferior vena caval tumor thrombus due to renal cell carcinoma generally precludes laparoscopic techniques for radical nephrectomy. We developed the technique of laparoscopic infrahepatic (level II) inferior vena caval thrombectomy in a survival porcine model. Materials and Methods: Of the 7 female pigs used in the study 2 were acute and 5 were chronic animals which were allowed to survive for 6 weeks postoperatively. Laparoscopic right radical nephrectomy and inferior vena caval thrombectomy were performed in accordance with established open surgical principles, including vascular control and intracorporeal reconstruction of the vena cava and left renal vein. Results: Complete removal of the simulated caval thrombus was successful in each case without intraoperative or postoperative complications. Average operative time was 160 minutes. Postoperatively inferior venacavography showed a patent vena cava and left renal vein in all animals. Conclusions: Laparoscopic radical nephrectomy was successful in an animal model simulating renal cell carcinoma with infrahepatic vena caval tumor thrombus. Clinical application of this technique appears possible. References 1 : Surgery for renal cell carcinoma in the vena cava. J Urol1970; 103: 414. Link, Google Scholar 2 : Radical nephrectomy in patients with renal cell carcinoma with venous, vena caval, and atrial extension. Am J Surg1994; 168: 205. Google Scholar 3 : Long-term followup after surgical treatment for renal cell carcinoma extending into the right atrium. J Urol1996; 155: 448. Link, Google Scholar 4 : Laparoscopic radical nephrectomy in 100 patients: a single center experience from the United States. Cancer2001; 92: 1843. Google Scholar 5 Meraney, A.M., Gill, I.S., Sato, M. et-al: Laparoscopic inferior vena cava and right atrial thrombectomy utilizing deep hypothermic circulatory arrest. Unpublished data. Google Scholar 6 : Laparoscopic radical nephrectomy for renal cell carcinoma in a patient with level I renal vein tumor thrombus. J Urol2000; 163: 1243. Abstract, Google Scholar From the Section of Laparoscopic and Minimally Invasive Surgery, Urological Institute and The Minimally Invasive Surgery Center, Cleveland Clinic Foundation, Cleveland, Ohio© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byAbaza R, Shabsigh A, Castle E, Allaf M, Hu J, Rogers C, Menon M, Aron M, Sundaram C and Eun D (2015) Multi-Institutional Experience with Robotic Nephrectomy with Inferior Vena Cava Tumor ThrombectomyJournal of Urology, VOL. 195, NO. 4 Part 1, (865-871), Online publication date: 1-Apr-2016.Gill I, Metcalfe C, Abreu A, Duddalwar V, Chopra S, Cunningham M, Thangathurai D, Ukimura O, Satkunasivam R, Hung A, Papalia R, Aron M, Desai M and Gallucci M (2018) Robotic Level III Inferior Vena Cava Tumor Thrombectomy: Initial SeriesJournal of Urology, VOL. 194, NO. 4, (929-938), Online publication date: 1-Oct-2015.DESAI M, GILL I, RAMANI A, MATIN S, KAOUK J and CAMPERO J (2018) Laparoscopic Radical Nephrectomy For Cancer With Level I Renal Vein InvolvementJournal of Urology, VOL. 169, NO. 2, (487-491), Online publication date: 1-Feb-2003. Volume 168Issue 6December 2002Page: 2629-2631 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordslaparoscopyvena cava, inferiorkidneyswinethrombosisMetricsAuthor Information AMR F. FERGANY More articles by this author INDERBIR S. GILL Requests for reprints: Urological Institute, A-100, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195. Financial interest and/or other relationship with ENDOcure. More articles by this author DANA K. SCHWEIZER More articles by this author JIHAD H. KAOUK More articles by this author HAZEM ABOU ElFETTOUH More articles by this author EDWARD E. CHERULLO More articles by this author ANOOP M. MERANEY More articles by this author GYUNG TAK SUNG More articles by this author Expand All Advertisement PDF downloadLoading ...