| Autor: |
Yuichi Machida, Hiroki Yoshiuchi, Yuko Kitano, Yoshikazu Kuroki, Masato Kamizuru, Junji Uchida |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Case Reports in Urology, Vol 2022 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2090-6978 |
| DOI: |
10.1155/2022/8177947 |
| Popis: |
Introduction. The treatment of thrombi in the renal vein (RV) and inferior vena cava (IVC) requires advanced laparoscopic experience. We present three cases of hand-assisted laparoscopic nephrectomy (HALN) using a novel technique for treating advanced renal cell carcinoma (RCC) with thrombi in the RV and IVC. Case Presentation. Three patients with RCC with RV or IVC thrombus below level I underwent HALN. Two patients had right RCC with RV and IVC thrombi. One patient had left RCC with an RV thrombus. We hooked a vessel loop to the end of the thrombus and pulled it up manually to make space for vascular processing. The RV was narrowed and dissected using Hem-o-lok clips or an Endo GIA stapler. Conclusion. In carefully selected cases, renal vascular processing could be easily and safely performed using a vessel loop in HALN with thrombectomy. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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