Key result
In a 71-year-old woman with a large adrenocortical carcinoma, an inferior vena cava tumor thrombus was found perioperatively, requiring conversion from a laparoscopic to an open procedure.
Why the study?
The safety and efficacy of minimally invasive approaches for adrenocortical carcinoma with inferior vena cava tumor thrombus have not yet been established.
Case Report (n=1)
In patients with large adrenocortical carcinoma, the possibility of an inferior vena cava tumor thrombus should be considered when selecting the surgical approach.
Requires preparedness for open conversion in large adrenocortical carcinoma; leaves open optimal preoperative thrombus detection.
Introduction: The safety and efficacy of minimally invasive approaches for adrenocortical carcinoma with inferior vena cava tumor thrombus have not yet been established. We report a case of large adrenocortical carcinoma with inferior vena cava tumor thrombus found perioperatively which required conversion from a laparoscopic to an open procedure. Case presentation: A 71-year-old woman with right-side 10-cm diameter adrenocortical carcinoma was scheduled for laparoscopic adrenalectomy. The operation was converted to open surgery, however, because inferior vena cava tumor thrombus, which was not detected by preoperative imaging modalities, was found during surgery. Conclusion: In patients with large adrenocortical carcinoma, the possible presence of inferior vena cava thrombus should be considered when selecting surgical procedures.
No takes yet. Share an insight, caveat, or question.
Nabeshima et al. (2022) conducted a case report in Adrenocortical carcinoma with inferior vena cava tumor thrombus (n=1). Conversion from laparoscopic to open surgery was evaluated on Intraoperative finding of inferior vena cava tumor thrombus requiring conversion to open surgery. In a 71-year-old woman with a large adrenocortical carcinoma, an inferior vena cava tumor thrombus was found perioperatively, requiring conversion from a laparoscopic to an open procedure.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: