Modified vein clamping technique for renal cell carcinoma complicated with level I–II IVC thrombi: a study at a single centre

BMC Urology

Tao Zhang¹  Dexin Yu¹  Jie Min¹  Wei Sun¹  Jiaxing Ma¹  Weiwei Qian¹ 

[1] Department of Urology, The Second Affiliated Hospital of Anhui Medical University, 678 Furong Rd, 230032, Hefei, Anhui, People’s Republic of China;

关键词: Renal cell carcinoma;    Tumor thrombus;    Laparoscopy;    Modified vein clamping technique;   

DOI  :  10.1186/s12894-021-00947-9

来源: Springer

【 摘 要 】

ObjectivesTo share our initial experience with the modified vein clamping technique for the treatment of renal cell carcinoma complicated with level I–II IVC thrombi.MethodsFrom March 2018 to April 2021, 11 patients with renal cell carcinoma (RCC) involving an IVC tumour thrombus were admitted to our hospital. They all underwent laparoscopic radical nephrectomy and IVC thrombectomy (LRN-IVCTE) using a modified vein clamping technique.ResultsAll procedures were successfully completed without conversion to open surgery. The median operative time was 185.00 min (145.00–216.00 min); the median estimated blood loss was 200.00 ml (155.00–300.00 ml), and four patients received an intraoperative transfusion. In addition, the median IVC clamping time was 18.00 min (12.00–20.00 min); the median postoperative hospital stay was 6.00 days (4.00–7.00 days), while the median follow-up period was 28.00 months (4.00–34.00 months).ConclusionsThe modified vein clamping technique for the treatment of renal cell carcinoma complicated with level I–II IVC thrombi may be a safe and technically feasible alternative technique.

【 授权许可】

CC BY