1. Robot-assisted laparoscopic nephroureterectomy for urothelial carcinoma with inferior vena cava incision and repair
- Author
-
Richard B Knight and Cristian P Ilie
- Subjects
Laparoscopic nephroureterectomy ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,030232 urology & nephrology ,Case Report ,Robotic assisted surgery ,urologic and male genital diseases ,Preoperative care ,Inferior vena cava ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,medicine.vein ,030220 oncology & carcinogenesis ,cardiovascular system ,Medicine ,Retroperitoneal space ,Renal vein ,business ,Laparoscopy ,Urothelial carcinoma - Abstract
Locally advanced urothelial carcinoma of the renal collecting system presents a unique challenge to the urologist performing nephroureterectomy, particularly if the tumor invades the renal vein or the IVC. Preoperative planning and a multidisciplinary approach are important to optimize the outcomes for these patients. The use of robotic assistance for laparoscopic nephroureterectomy has become common, but a simultaneous robotic assisted IVC excision has yet to be reported. This case report describes a robotic assisted laparoscopic right nephroureterectomy with IVC resection and retroperitoneal lymphadenectomy for locally advanced urothelial carcinoma. For a patient with locally advanced urothelial carcinoma of the renal collecting system which obliterates the renal vein, robotic assisted surgery provides a minimally invasive alternative to open surgery.
- Published
- 2019