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Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis

Renal cell carcinoma is one common type of urologic cancers. It has tendencies to invade into the inferior vena cava (IVC) and usually requires an open surgery procedure. High rates of operative complications and mortality are usually associated with an open surgery procedure. The recently emerged r...

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Autores principales: Ma, Shuaijun, Jia, Weijing, Hou, Guangdong, Quan, Penghe, Zhang, Longlong, Fan, Xiaozheng, Yang, Bo, Su, Xing, Jiao, Jianhua, Wang, Fuli, Yuan, Jianlin, Qin, Weijun, Yang, Xiaojian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376354/
https://www.ncbi.nlm.nih.gov/pubmed/34414942
http://dx.doi.org/10.1097/MD.0000000000026886
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author Ma, Shuaijun
Jia, Weijing
Hou, Guangdong
Quan, Penghe
Zhang, Longlong
Fan, Xiaozheng
Yang, Bo
Su, Xing
Jiao, Jianhua
Wang, Fuli
Yuan, Jianlin
Qin, Weijun
Yang, Xiaojian
author_facet Ma, Shuaijun
Jia, Weijing
Hou, Guangdong
Quan, Penghe
Zhang, Longlong
Fan, Xiaozheng
Yang, Bo
Su, Xing
Jiao, Jianhua
Wang, Fuli
Yuan, Jianlin
Qin, Weijun
Yang, Xiaojian
author_sort Ma, Shuaijun
collection PubMed
description Renal cell carcinoma is one common type of urologic cancers. It has tendencies to invade into the inferior vena cava (IVC) and usually requires an open surgery procedure. High rates of operative complications and mortality are usually associated with an open surgery procedure. The recently emerged robot-assisted laparoscopic radical nephrectomy (RAL-RN) and IVC tumor thrombectomy have shown to reduce operative related complications in patients with renal cell carcinoma. This case series study aimed to summarize technical utilization, perioperative outcomes, and efficacies of RAL-RN and IVC tumor thrombectomy in our hospital. A retrospective analysis was performed on clinical data from 20 patients who underwent RAL-RN and IVC tumor thrombectomy from January 2017 to December 2019 in our department. Patients had a median age of 59 years (interquartile range [IQR], 46–68). Four patients had renal neoplasm on left side and 16 on right side. Nineteen patients underwent RAL-RN (level 0: n = 2) or RAL-RN with IVC thrombectomy (n = 17) (level I: n = 3; level II: n = 12; and level III: n = 3) and 1 patient was converted into an open surgery. The median operative time was 328 minutes (IQR, 221–453). The estimated median blood loss was 500 mL (IQR, 200–1200). The median size of removed renal carcinoma was 67 cm(2) (IQR, 40–91); the length of IVC tumor thrombus was 5 cm (IQR, 3–7). The postsurgery hospital length of stay was 6 days (IQR, 5–7). The complications included intestinal obstruction (n = 1), lymphatic fistula (n = 1), heart failure (n = 1), and low hemoglobin level (n = 1). The outcomes for patients after 16 months (IQR, 11–21) follow-up were tumor-free (n = 10), tumor progression (n = 4), loss of contact (n = 1), and death (n = 5). We concluded that RAL-RN and IVC thrombectomy renders good safety profiles including minimal invasiveness, low estimated median blood loss, short hospitalization, low morbidity, and quick renal function recovery. The long-term efficacy needs a further investigation.
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spelling pubmed-83763542021-08-21 Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis Ma, Shuaijun Jia, Weijing Hou, Guangdong Quan, Penghe Zhang, Longlong Fan, Xiaozheng Yang, Bo Su, Xing Jiao, Jianhua Wang, Fuli Yuan, Jianlin Qin, Weijun Yang, Xiaojian Medicine (Baltimore) 7300 Renal cell carcinoma is one common type of urologic cancers. It has tendencies to invade into the inferior vena cava (IVC) and usually requires an open surgery procedure. High rates of operative complications and mortality are usually associated with an open surgery procedure. The recently emerged robot-assisted laparoscopic radical nephrectomy (RAL-RN) and IVC tumor thrombectomy have shown to reduce operative related complications in patients with renal cell carcinoma. This case series study aimed to summarize technical utilization, perioperative outcomes, and efficacies of RAL-RN and IVC tumor thrombectomy in our hospital. A retrospective analysis was performed on clinical data from 20 patients who underwent RAL-RN and IVC tumor thrombectomy from January 2017 to December 2019 in our department. Patients had a median age of 59 years (interquartile range [IQR], 46–68). Four patients had renal neoplasm on left side and 16 on right side. Nineteen patients underwent RAL-RN (level 0: n = 2) or RAL-RN with IVC thrombectomy (n = 17) (level I: n = 3; level II: n = 12; and level III: n = 3) and 1 patient was converted into an open surgery. The median operative time was 328 minutes (IQR, 221–453). The estimated median blood loss was 500 mL (IQR, 200–1200). The median size of removed renal carcinoma was 67 cm(2) (IQR, 40–91); the length of IVC tumor thrombus was 5 cm (IQR, 3–7). The postsurgery hospital length of stay was 6 days (IQR, 5–7). The complications included intestinal obstruction (n = 1), lymphatic fistula (n = 1), heart failure (n = 1), and low hemoglobin level (n = 1). The outcomes for patients after 16 months (IQR, 11–21) follow-up were tumor-free (n = 10), tumor progression (n = 4), loss of contact (n = 1), and death (n = 5). We concluded that RAL-RN and IVC thrombectomy renders good safety profiles including minimal invasiveness, low estimated median blood loss, short hospitalization, low morbidity, and quick renal function recovery. The long-term efficacy needs a further investigation. Lippincott Williams & Wilkins 2021-08-20 /pmc/articles/PMC8376354/ /pubmed/34414942 http://dx.doi.org/10.1097/MD.0000000000026886 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 7300
Ma, Shuaijun
Jia, Weijing
Hou, Guangdong
Quan, Penghe
Zhang, Longlong
Fan, Xiaozheng
Yang, Bo
Su, Xing
Jiao, Jianhua
Wang, Fuli
Yuan, Jianlin
Qin, Weijun
Yang, Xiaojian
Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis
title Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis
title_full Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis
title_fullStr Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis
title_full_unstemmed Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis
title_short Case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: A retrospective analysis
title_sort case reports of robot-assisted laparoscopic radical nephrectomy and inferior vena cava tumor thrombectomy: a retrospective analysis
topic 7300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376354/
https://www.ncbi.nlm.nih.gov/pubmed/34414942
http://dx.doi.org/10.1097/MD.0000000000026886
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