Renal cell carcinoma with infrahepatic vena caval tumor thrombus treated with a novel combined retroperitoneal and transperitoneal pure laparoscopic procedure

Qi Tang; Tianyu Wang; Xuesong Li; Zheng Zhang; Gang Song; Zhisong He; Liqun Zhou

doi:10.1016/j.urology.2014.01.025

Renal cell carcinoma with infrahepatic vena caval tumor thrombus treated with a novel combined retroperitoneal and transperitoneal pure laparoscopic procedure

Urology. 2014 May;83(5):e9-10. doi: 10.1016/j.urology.2014.01.025.

Authors

Qi Tang¹, Tianyu Wang¹, Xuesong Li¹, Zheng Zhang¹, Gang Song¹, Zhisong He¹, Liqun Zhou²

Affiliations

¹ Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.
² Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China. Electronic address: [email protected].

PMID: 24767537
DOI: 10.1016/j.urology.2014.01.025

Abstract

A 61-year-old male patient presented with intermittent gross hematuria. A right renal mass with infrahepatic vena caval tumor thrombus was found using magnetic resonance imaging. We undertook a novel combined retroperitoneal and transperitoneal pure laparoscopic nephrectomy with vena caval thrombectomy for this patient. The patient recovered well after surgery and discharged on day 6. A clear cell renal cell carcinoma with venous extension was confirmed by pathologic assay. To our knowledge, this is the first report of such a novel hybrid surgical strategy.

Publication types

Case Reports

MeSH terms

Carcinoma, Renal Cell / secondary*
Combined Modality Therapy*
Humans
Kidney Neoplasms / pathology*
Laparoscopy / methods*
Male
Middle Aged
Neoplastic Cells, Circulating*
Nephrectomy / methods*
Peritoneum
Retroperitoneal Space
Thrombectomy / methods*
Vena Cava, Inferior*