Robotic Level III Inferior Vena Cava Tumor Thrombectomy: Initial Series
Why the study?
Is completely intracorporeal robotic level III inferior vena cava tumor thrombectomy feasible and safe in patients with renal cancer?
Population
16 patients with renal cancer and inferior vena cava tumor thrombus (9 with level III, 7 with level II)
Design
Case_series
Follow-up
median 7 months (range 1 to 18)
Authors
Discussion
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Member takes
Implication
Supports feasibility of robotic level III IVC thrombectomy in selected cases; hypothesis-generating and should not change practice pending larger studies.
Structured PICO
Is completely intracorporeal robotic level III inferior vena cava tumor thrombectomy feasible and safe in patients with renal cancer?
P
Population
16 patients with renal cancer and inferior vena cava tumor thrombus (9 with level III, 7 with level II)
I
Intervention
Completely intracorporeal robotic inferior vena cava tumor thrombectomy using an 'inferior vena cava-first, kidney-last' technique
O
Outcome
Surgical success, operative time, blood loss, hospital stay, and complicationssafety
Completely intracorporeal robotic level III inferior vena cava thrombectomy is feasible and can be performed efficiently in selected patients.
Limitations
- Small sample size
- Short follow-up
- Lack of comparison with open surgery
Cite This Study
Gill et al. (2015) studied this question.