Robot-Assisted Hepatic Mobilization And Control Of Suprahepatic Infradiaphragmatic Inferior Vena Cava For Level 3 Vena Caval Thrombectomy: An IDEAL Stage 0 Study

被引:6
作者
Sood, Akshay [1 ]
Jeong, Wooju [1 ]
Barod, Ravi [1 ]
Bahnson, Eamonn [2 ]
Kirura, Parfait [3 ]
Abdollah, Firas [1 ]
Bhandari, Mahendra [1 ]
Bahnson, Robert [3 ]
Menon, Mani [1 ]
机构
[1] Henry Ford Hlth Syst, Vattikuti Urol Inst, Detroit, MI 48202 USA
[2] Univ Cincinnati, Dept Urol, Cincinnati, OH USA
[3] Ohio State Univ, Dept Urol, Columbus, OH 43210 USA
关键词
robotics; kidney; tumor; thrombus; inferior vena cava; RENAL-CELL-CARCINOMA; LAPAROSCOPIC RADICAL NEPHRECTOMY; SURGICAL INNOVATION; KIDNEY-TRANSPLANTATION; REGIONAL HYPOTHERMIA; TUMOR THROMBUS; RESECTION; SURGERY; EXPERIENCE; EXTENSION;
D O I
10.1002/jso.23980
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Robot-assisted level 1/2 inferior vena caval (IVC) thrombectomy techniques have been recently described for clinical use. Following the IDEAL recommendations on safe surgical innovation, we here describe a robotic approach for level 3 IVC thrombectomy in fresh frozen cadavers (IDEAL stage 0). In all cadavers (n = 3), hepatic mobilization with control of short hepatic veins, contralateral renal vein, infrarenal IVC and suprahepatic-infradiaphragmatic IVC could be achieved successfully, without converting to open surgery. Clinical feasibility of our technique remains to be tested. (C) 2015 Wiley Periodicals, Inc.
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页码:741 / 745
页数:5
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