A case report of simultaneous mini-invasive treatment of a patient with kidney tumor and tumor thrombus in inferior vena cava

• Main Authors: M. S. Mosoyan, M. A. Chernyavskiy, A. V. Chernov, M. E. Mamsurov, I. O. Chuykova
• Format: Article
• Language: Russian
• Published: Meshalkin National Medical Research Center 2018-11-01
• Series: Патология кровообращения и кардиохирургия
• Subjects: case report; kidney tumor; renal artery embolization
• Online Access: http://dx.doi.org/10.21688/1681-3472-2018-3-81-85
• ISSN: 1681-3472; 2500-3119

Nowadays, there is a tendency in surgery to use more minimally invasive surgical procedures to decrease the risk of intra- and postoperative complications and to reach a faster rehabilitation period. We report a case of successful simultaneous minimally invasive treatment of a patient with kidney tumor. According to ultrasound examination data, the patient had a tumor in the right kidney. A computed tomography scan of the abdomen verified the tumor and detected a thrombus in the inferior vena cava lumen. Embolization of the right renal artery was performed as the first stage in the hybrid operating room. Right-side nephrectomy and thrombectomy from inferior vena cava, as the second stage, were done by using a robotic surgical system. The feature of this case is that embolization and nephrectomy were simultaneously performed during one surgical procedure. On the 10th day, the patient was discharged from the hospital without any signs of deterioration and complications. Thus, the unique work of two surgical teams proficient in mini-invasive technologies allowed to eliminate tumors and tumor thrombi in a single procedure and to reduce the bleeding, in-hospital stay, and rehabilitation period. This method will help more patients with kidney tumors in the future.