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Int J Med Robot. 2015 Dec;11(4):413-7. doi: 10.1002/rcs.1641. Epub 2015 Mar 1.

Robot-assisted radical adrenalectomy with clamping of the vena cava for excision of a metastatic adrenal vein thrombus: a case report.

Author information

1
Department of Urology, OLV Vattikuti Robotic Surgery Institute, Aalst, Belgium.
2
Department of Urology, Ghent University Hopsital, Ghent, Belgium.
3
Department of Experimental and Clinical Medical Sciences, Urologic Clinic, University of Padoua, Italy.

Abstract

BACKGROUND:

Renal or adrenal neoplastic vein thrombi are relative contra-indications for laparoscopic treatment. To the best of our knowledge, we present the first robot-assisted radical adrenalectomy (RARA) with the presence of a thrombus in the adrenal vein.

METHODS:

A 54 year-old male with a history of laparoscopic left radical nephrectomy for clear cell carcinoma was referred to our department with a diagnosed right adrenal tumour extending into the adrenal vein. A RARA was planned through a trans-peritoneal approach, and an en bloc resection of the adrenal and its vein with clamping of the vena cava was performed.

RESULTS:

Console time was 94 min and the estimated blood loss was 44 ml. The pathology report confirmed clear cell carcinoma with negative surgical margins. Convalescence was uneventful.

CONCLUSION:

RARA with thrombectomy and vascular reconstruction can be safe, effective and feasible in experienced hands, using robotic bulldogs.

KEYWORDS:

adrenalectomy; robot; vein thrombus

PMID:
25727563
DOI:
10.1002/rcs.1641
[Indexed for MEDLINE]

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