Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan

Introduction Open surgical approach remains the standard treatment for renal cell carcinoma with an inferior vena cava tumor thrombus. In recent years, however, robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy have emerged as minimally invasive alternatives to conventiona...

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Main Authors: Daisuke Motoyama, Toshiki Ito, Takayuki Sugiyama, Atsushi Otsuka, Hideaki Miyake
Format: Article
Language:English
Published: Wiley 2022-05-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12419
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author Daisuke Motoyama
Toshiki Ito
Takayuki Sugiyama
Atsushi Otsuka
Hideaki Miyake
author_facet Daisuke Motoyama
Toshiki Ito
Takayuki Sugiyama
Atsushi Otsuka
Hideaki Miyake
author_sort Daisuke Motoyama
collection DOAJ
description Introduction Open surgical approach remains the standard treatment for renal cell carcinoma with an inferior vena cava tumor thrombus. In recent years, however, robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy have emerged as minimally invasive alternatives to conventional open surgery. Case presentation Here, we describe a 76‐year‐old female patient with right renal cell carcinoma with a level I inferior vena cava thrombus undergoing robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy, which was successfully completed with a purely robotic procedure, resulting in the following outcomes: console time,167 min; total operative time, 211 min; and estimated blood loss, 150 mL. To our knowledge, this is the first case managed by robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy in Japan. Conclusion Based on our experience, it might be worthwhile to consider purely robotic surgery for the treatment of renal cell carcinoma with an inferior vena cava thrombus.
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spelling doaj.art-8ede5fb1bc3f4cf4b806578ba27b5acf2022-12-22T02:08:19ZengWileyIJU Case Reports2577-171X2022-05-015314514810.1002/iju5.12419Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in JapanDaisuke Motoyama0Toshiki Ito1Takayuki Sugiyama2Atsushi Otsuka3Hideaki Miyake4Department of Urology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Urology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Urology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Urology Hamamatsu University School of Medicine Hamamatsu JapanDepartment of Urology Hamamatsu University School of Medicine Hamamatsu JapanIntroduction Open surgical approach remains the standard treatment for renal cell carcinoma with an inferior vena cava tumor thrombus. In recent years, however, robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy have emerged as minimally invasive alternatives to conventional open surgery. Case presentation Here, we describe a 76‐year‐old female patient with right renal cell carcinoma with a level I inferior vena cava thrombus undergoing robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy, which was successfully completed with a purely robotic procedure, resulting in the following outcomes: console time,167 min; total operative time, 211 min; and estimated blood loss, 150 mL. To our knowledge, this is the first case managed by robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy in Japan. Conclusion Based on our experience, it might be worthwhile to consider purely robotic surgery for the treatment of renal cell carcinoma with an inferior vena cava thrombus.https://doi.org/10.1002/iju5.12419inferior vena cava tumor thrombectomyrenal cell carcinomarobot‐assisted radical nephrectomy
spellingShingle Daisuke Motoyama
Toshiki Ito
Takayuki Sugiyama
Atsushi Otsuka
Hideaki Miyake
Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan
IJU Case Reports
inferior vena cava tumor thrombectomy
renal cell carcinoma
robot‐assisted radical nephrectomy
title Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan
title_full Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan
title_fullStr Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan
title_full_unstemmed Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan
title_short Robot‐assisted radical nephrectomy and inferior vena cava tumor thrombectomy: Initial experience in Japan
title_sort robot assisted radical nephrectomy and inferior vena cava tumor thrombectomy initial experience in japan
topic inferior vena cava tumor thrombectomy
renal cell carcinoma
robot‐assisted radical nephrectomy
url https://doi.org/10.1002/iju5.12419
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