J Robotic Surg (2018) 12:377–379 https://doi.org/10.1007/s11701-017-0743-8 CASE REP O RT Optimization of blood loss during robotic IVC thrombectomy in a Jehovah’s witness: a case report with 14-month follow up 1 1 1 • • Logan W. McGuffey Alexander B. Jones Naveen Pokala Received: 11 June 2017 / Accepted: 27 August 2017 / Published online: 1 September 2017 Springer-Verlag London Ltd. 2017 Introduction with IVC tumor thrombus. She was also noted to have pulmonary peri-hilar nodes questionable for metastatic Renal neoplasms with IVC tumor thrombus represent a disease. A contrasted abdominal MRI was subsequently complex surgical challenge. The reported incidence in the performed which showed a Mayo Classiﬁcation level II literature ranges from 4 to 10%. There have been various IVC tumor thrombus (see Fig. 1). Given her good func- series describing the feasibility and safety of robotic-as- tional status, the decision was made to proceed with a sisted laparoscopic inferior vena cava thrombectomy with radical nephrectomy with IVC tumor thrombectomy, and appropriate patient selection [1–4]. Management of these peri-hilar/paracaval lymph node dissection prior to biopsy tumors via a robotic approach may decrease blood loss; of her questionably involved nodes. however, it still has a signiﬁcant risk of substantial intra-
Journal of Robotic Surgery – Springer Journals
Published: Sep 1, 2017
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