Inferior vena left renal radical nephrectomy for large renal. Medical search. Frequent questions

A follow-up contrast enhanced computerised tomography (CT) scan of the thorax, abdomen and pelvis was carried out which demonstrated a large right intrarenal tumour with extracapsular spread into the right adrenal gland and vascular invasion of the right renal vein and inferior vena cava (IVC). (biomedcentral.com)
For Mayo grade 1 TT, part of the inferior vena cava was blocked by a bulldog clamp after milking the TT into the left renal vein and the inferior vena cava was sutured after complete excision of the TT. (biomedcentral.com)
It is feasible to control left renal vein and partial inferior vena cava through descending colon mesentery in a single position during LRN and tumor thrombectomy for the treatment of high-risk Mayo grade 0 and 1 TT. (biomedcentral.com)
Studies have shown that radical nephrectomy and inferior vena cava TT removal for patients with locally advanced renal cancer can effectively improve the prognosis, and the 5-year tumor-specific survival rate is 40-65% [ 2 ]. (biomedcentral.com)
If it is a high-risk Mayo grade 0 TT or even grade 1 TT, traditionally two steps were utilized including management of the inferior vena cava and removement of the TT, and then nephrectomy after changing the surgical position. (biomedcentral.com)
In order to simplify the procedure, we explored the trans-mesocolon approach to fully dissect the left renal vein to the inferior vena cava in single position to treat high-risk Mayo 0-grade and grade 1 TT. (biomedcentral.com)
Thrombosis of the inferior vena cava (IVC) is an underrecognized entity with a variety of clinical presentations. (medscape.com)
The right gonadal vein empties directly into the cava, whereas the left gonadal vein generally empties into the left renal vein. (medscape.com)
The second part of the duodenum is medial to the right kidney and may be reflected medially to gain exposure to the inferior vena cava (Kocher maneuver). (medscape.com)
The left renal vein is longer than the right as it crosses the midline to reach the inferior vena cava (IVC). (medscape.com)
RCC can trigger thrombus formation in the renal vein, which occasionally propagates into the vena cava. (msdmanuals.com)
For larger masses in the PC RPLND setting, additional procedures may be necessary depending on the location of the masses and clinical scenario (i.e., desperation or late relapse) such as nephrectomy, inferior vena cava (IVC) reconstruction or resection, and aortic replacement. (abdominalkey.com)
There is also potential risk of injury to adjacent structures including kidney, liver, spleen, pancreas, inferior vena cava and bowel. (amegroups.org)
BACKGROUND/AIM: Collecting duct carcinoma, epithelioid angiosarcoma and neuroendocrine/carcinoid tumor are uncommon renal malignancies, and their association with tumor thrombus extending into the inferior vena cava is extremely rare. (bvsalud.org)
PATIENTS AND METHODS: We herein describe in detail the first cases published of the above-mentioned renal malignancies associated with extensive inferior vena cava (IVC) thrombus, in which complex vascular reconstruction was performed. (bvsalud.org)
Final Two-Year Outcomes for the Sentry Bioconvertible Inferior Vena Cava Filter in Patients Requiring Temporary Protection from Pulmonary Embolism. (omeka.net)
PURPOSE: To report final 2-year outcomes with the Sentry bioconvertible inferior vena cava (IVC) filter in patients requiring temporary protection against pulmonary embolism (PE). (omeka.net)

After the renal artery was controlled by Hem-o-lok, the left renal vein was dissected through descending colon mesentery. (biomedcentral.com)
The left renal vein was divided by EndoGIA for high-risk Mayo grade 0 TT. (biomedcentral.com)
Left renal vein TT is more complicated than right renal vein TT and the length of Mayo grade 0 TT determines the complexity of the surgery. (biomedcentral.com)
If it is a low-risk Mayo grade 0 TT, the end of the TT is on the left side of the mesenteric artery, the left renal vein can be fully controlled by traditional approach. (biomedcentral.com)
The imaging examination of case 3 showed left kidney tumor with retroperitoneal lymphadenopathy, left renal vein TT (Mayo grade 0) and multiple lung metastases. (biomedcentral.com)
On this medial aspect of each kidney is an opening, called the hilum , which admits the renal artery , the renal vein , nerves , and the ureter . (wikidoc.org)
Blood from these capillaries collects in renal venules and leaves the kidney via the renal vein . (wikidoc.org)
The left renal vein has 3 draining tributaries-namely, the adrenal, gonadal, and posterior lumbar veins. (medscape.com)
Quadruple coronary artery bypass grafting to left anterior descending artery and its diagonal branch, obtuse marginal branch of circumflex artery and left ventricular branch of right coronary artery was performed using left internal mammary artery and long saphenous vein for conduits, employing cardiopulmonary bypass with antegrade cold blood cardioplegic arrest. (biomedcentral.com)
The renal veins drain the kidneys in a similar distribution, and the renal vein is generally anterior to the renal artery at the hilum. (medscape.com)
Generally, the left gonadal vein drains into the left renal vein inferiorly, while the left suprarenal vein drains into the superior aspect of the renal vein at approximately the same level. (medscape.com)
Posteriorly, the left second lumbar vein typically drains into the left renal vein as well. (medscape.com)
The left renal vein then crosses under the origin of the superior mesenteric artery to reach the IVC. (medscape.com)
On the right side, the renal vein and gonadal vein drain separately and directly into the IVC. (medscape.com)
For clinical stage I or smaller volume paracaval or interaortocaval tumors, the retroperitoneum is accessed by incising the root of the small bowel mesentery from the cecum to the ligament of Treitz, stopping just before the inferior mesenteric vein. (abdominalkey.com)

IRE uses HVEPs to cause cell death by inducing membrane disruption, and it is primarily used as a radical ablative therapy in the treatment of soft-tissue tumors in the liver, kidney, prostate, and pancreas. (rsna.org)
Nephrectomy is also performed to treat malignant or benign tumors of the kidney, renovascular hypertention due to uncorrectable renal artery disease, or severe unilateral parenchymal damage from nephrosclerosis, pyelonephritis, reflux, or congenital dysplasia. (urotoday.com)
The classification of epithelial tumors of the kidney has in particular undergone substantial progress in the last two decades with major contributions from genetic typing of renal cell carcinomas (RCCs). (abdominalkey.com)
The role of genotyping and ancillary tools, in particular immunohistochemistry, in correctly classifying these tumors is highlighted in the section on Renal Cell Carcinoma. (abdominalkey.com)
More than 80% of renal tumors of childhood are Wilms tumor (nephroblastoma) ( 1 , 2 ). (abdominalkey.com)
Collecting duct carcinoma (CDC) of the kidney is a rare and aggressive subtype of renal cancer arising from the collecting duct epithelium of the kidney with an incidence of 0.4%-1.8% of all renal tumors. (e-urol-sci.com)
This study presents the largest, single-institutional experience to date for managing these tumors and can, therefore, be added to the existing literature on this rare tumor. (e-urol-sci.com)
RCC, an adenocarcinoma, accounts for 90 to 95% of primary malignant renal tumors. (msdmanuals.com)
There is controversy however about its role for large tumors. (amegroups.org)
In this review, we present the latest evidence on the feasibility of LA for large tumors and analyze the perioperative outcomes. (amegroups.org)
Using PubMed database, we searched for relevant articles on LA for large tumors published between January 2010 and December 2021. (amegroups.org)
LA can be considered for large (≥5 cm) and potentially malignant tumors if the operators have the required technical skills and strict oncological principles are followed. (amegroups.org)
Absolute contraindications for RA include infiltrative adrenal masses, invasion into surrounding vascular structures or significant involvement of adjacent organs, and large tumors precluding effective use of the robot. (basicmedicalkey.com)

Each kidney receives its blood supply from the renal artery , two of which branch from the abdominal aorta . (wikidoc.org)
Upon entering the hilum of the kidney, the renal artery divides into smaller interlobar arteries situated between the renal papillae. (wikidoc.org)
A 52 year male undergoing elective coronary artery bypass grafting was incidentally discovered to have a large soft tissue mass of variable consistency with cartilaginous elements arising from the right costal margin and adjoining ribs by a broad attachment and protruding into right pleural cavity. (biomedcentral.com)
A 52 year old male smoker undergoing coronary artery bypass grafting for three vessel coronary artery disease and moderately impaired left ventricular function was felt to have a mass arising from the under surface of right costal margin adjacent to right lower sternal margin while sternopericardial ligament was being broken off by finger dissection prior to sternotomy. (biomedcentral.com)
The first branch off of the renal artery is the inferior suprarenal artery. (medscape.com)
The renal artery then branches off into 5 segmental branches. (medscape.com)
The anterior branches are the superior segmental artery, anterior superior segmental artery, anterior inferior segmental artery, and inferior segmental artery. (medscape.com)
Renal pelvic and superior ureteric branches also originate from the renal artery and supply the upper portion of the collecting system (see the image below). (medscape.com)

To explore the feasibility of single-position laparoscopic radical nephrectomy (LRN) and tumor thrombectomy for left renal cell carcinoma with high-risk Mayo 0 and 1 tumor thrombus (TT). (biomedcentral.com)

Bilateral renal involvement by tumor is present at diagnosis. (pedsurglibrary.com)
Congenital absence of one or both kidneys, known as unilateral or bilateral renal agenesis , can occur. (wikidoc.org)
Bilateral nephrectomy and long-term dialysis is a treatment option in such cases. (medscape.com)
Although Perez et al described successful treatment with partial nephrectomies in 1 patient,[2] bilateral XGP is usually fatal. (medscape.com)
surgical removal created_by: mshimoyama creation_date: 2011-11-02T02:06:00Z [Term] id: XCO:0000018 name: bilateral nephrectomy def: "Surgical removal of both kidneys. (mcw.edu)

The aim of the study was to explore the feasibility of single position transperitoneal laparoscopic radical nephrectomy (LRN) and high-risk Mayo 0 and 1 tumor thrombectomy and the surgical techniques were described in detail. (biomedcentral.com)
The nephrectomy can be performed through open or laparoscopic procedure. (urotoday.com)
The purpose of the present investigation was to compare the outcomes of nephrectomy through open and laparoscopic procedures. (urotoday.com)
Between December 2006 and March 2009, 20 patients had laparoscopic nephrectomy and 20 patients had open nephrectomy. (urotoday.com)
Laparoscopic nephrectomy, which is a minimal invasive procedure, is a recommended alternative for open surgery. (urotoday.com)
There has been widespread interest in urologic laparoscopy since the first total laparoscopic nephrectomy was performed by Clayman in 1990 [3]. (urotoday.com)
Laparoscopic nephrectomy is performed through transperitoneal or retroperitoneal approach. (urotoday.com)
When compared with an open procedure, many surgeons find that laparoscopic nephrectomy offers shorter length of hospital stay, shorter time to oral intake, less pain medication requirement, and faster return to normal activity. (urotoday.com)
Retroperitoneal laparscopic adrenalectomy (RPLA) or transperitoneal laparoscopic adrenalectomy (TPLA) was found to be safe and effective for large tumours (≥5 cm) when compared to open adrenalectomy (OA). (amegroups.org)
However laparoscopic surgical management of large adrenal masses is not routinely undertaken due to concerns of oncological compromise in malignancy, technical complexity of the procedure and the greater potential for intraoperative or postoperative complications. (amegroups.org)

We successfully treated the patient with locally advanced HLRCC-associated kidney cancer, who has received active surveillance because of at-risk individual, by radical nephrectomy and extended retroperitoneal lymph node dissection, and examined surgically resected samples from a molecular point of view. (biomedcentral.com)
The kidneys are paired retroperitoneal structures that are normally located between the transverse processes of T12-L3 vertebrae, with the left kidney typically somewhat more superior in position than the right. (medscape.com)

All the cases of CDC which were diagnosed at our center following a radical or partial nephrectomy in the past 15 years were included. (e-urol-sci.com)
A retrospective review of the hospital's electronic database was conducted to identify the cases of CDC of the kidney from among those patients who underwent either radical or partial nephrectomy between June 2005 and January 2020. (e-urol-sci.com)
Robotic surgery has gained significant traction in a variety of urologic procedures, including radical and simple prostatectomy, partial nephrectomy, and recently radical cystectomy. (basicmedicalkey.com)

Hereditary leiomyomatosis and renal cell carcinoma (HLRCC) is an autosomal dominant tumor susceptibility syndrome, and the disease-related gene has been identified as fumarate hydratase (fumarase, FH ). (biomedcentral.com)
Other genetically linked conditions also increase the risk of RCC, including hereditary papillary renal carcinoma, hereditary leiomyomatosis, Birt-Hogg-Dube syndrome, hyperparathyroidism-jaw tumor syndrome, familial papillary thyroid carcinoma, von Hippel-Lindau disease and sickle cell disease. (wikipedia.org)

The tip of each pyramid (called a papilla ) empties into a calyx , and the calices empty into the renal pelvis . (wikidoc.org)
and the renal pelvis posteriorly. (medscape.com)
The ureteric bud divides and branches forming the collecting system (renal pelvis, infundibulae, calyces, and tubules) for urine drainage. (esur2023.com)

During the 20th century, most nephrectomies for benign and malignant renal disease were performed by an open approach [2]. (urotoday.com)

CDC's presentation is nonspecific and similar to other renal malignancies. (e-urol-sci.com)

the right kidney sits just below the liver , the left below the diaphragm and adjacent to the spleen . (wikidoc.org)
On the left, the superior pole of the kidney is attached to the spleen superolaterally (splenorenal ligament) and is very near to or in direct contact with the tail of the pancreas medially. (medscape.com)

The kidney is innervated by the renal and ureteric nerve , which arises from the renal plexus . (wikidoc.org)
The ureteric bud grows laterally and invades the center of the metanephric blastema, the primordial renal tissue [4]. (esur2023.com)

XGP shares many characteristics with true renal neoplasms in terms of its radiographic appearance and its ability to involve adjacent structures or organs. (medscape.com)

Pancreatic injuries during nephrectomy are rare, despite the relatively close anatomic relation between the kidneys and the pancreas. (ima.org.il)
the adjective renal meaning related to the kidney is from Latin rēnēs , meaning kidneys. (wikidoc.org)
Since the kidneys are located on different heights, the upper pole of the right kidney is at the same level as the hilum of the left kidney. (wikidoc.org)
The blood supply to the kidneys arises from the paired renal arteries at the level of L2. (medscape.com)

The imaging examinations of case 2 showed a left kidney tumor with venous TT (Mayo grade 1), accompanied by left adrenal gland metastasis. (biomedcentral.com)

The tumor is usually circumscribed by a pseudocapsule formed of compressed renal and perirenal tissues. (abdominalkey.com)

Among those, four patients (0.2% of the total group, 0.7% of the left nephrectomy group, and 1.36% of the radical left nephrectomy) experienced iatrogenic injuries to the pancreas. (ima.org.il)

The IVC is formed by the confluence of the left and right common iliac veins. (medscape.com)
The azygous system has connections with the IVC or the renal veins at the level of the renal veins. (medscape.com)
The next major veins encountered are the renal veins, followed by the hepatic veins. (medscape.com)

Collecting duct carcinoma of the kidney (CDC) is an aggressive subtype of renal cell carcinoma with a dismal prognosis. (e-urol-sci.com)

METHODS: Based on genome-wide DNA methylation profiling in 11 pairs of ccRCC and non-cancerous renal tissues (NRT), the methylation at regulatory regions of ZNF677, FBN2, PCDH8, TFAP2B, TAC1, and FLRT2 was analyzed in 168 renal tissues and 307 urine samples using qualitative and quantitative methylation-specific PCR (MSP). (bvsalud.org)

Deep to the cortex lies the renal medulla , which is divided into 10-20 renal pyramids in humans. (wikidoc.org)
These arteries branch into interlobar arteries, which travel in a parallel fashion in between the major calyces and then branch further into arcuate arteries that run within the cortex across the bases of the renal pyramids. (medscape.com)

[4] The renal plexus, in turn, is innervated by thoracic splanchnic nerves , especially the caudal ones. (wikidoc.org)

Radiotherapy to the prostate bed is used to eradicate residual microscopic disease following radical prostatectomy for prostate cancer. (ima.org.il)

A three-year old child presents with a large renal mass suspected to be a Wilms tumor. (pedsurglibrary.com)
Surgical resection is performed and pathologic evaluation shows completely resected Wilms tumor with focal penetration of the renal capsule. (pedsurglibrary.com)
Children with which of the following conditions should receive screening renal ultrasounds for nephroblastoma (Wilms tumor)? (pedsurglibrary.com)

Renal anatomy, renal fascia. (medscape.com)

All patients with left renal cell carcinoma and venous TT (high-risk Mayo grade 0 and 1) who were performed single-position LRN and tumor thrombectomy were involved. (biomedcentral.com)
Up to date, the culprit of treatment is surgical management with radical nephrectomy, lymph node dissection, thrombectomy and vascular reconstruction if necessary. (bvsalud.org)

The tumour arises from the cells of the proximal renal tubular epithelium. (wikipedia.org)

Symptoms usually do not appear until late, when the tumor may already be large and metastatic. (msdmanuals.com)
INTRODUCTION: Sunitinib is a multi-targeted receptor tyrosine kinase inhibitor used to treat metastatic renal cell carcinoma (mRCC). (bvsalud.org)

Xanthogranulomatous pyelonephritis (XGP), first described by Schlagenhaufer in 1916,[1] is a rare, serious, chronic inflammatory disorder of the kidney characterized by a destructive mass that invades the renal parenchyma. (medscape.com)

The CTPA demonstrated no PE, however there was extensive pulmonary airspace shadowing in both lower lobes consistent with acute respiratory distress syndrome (ARDS), as well as a highly abnormal appearance to the left atrium with a smooth margined filling defect extending from the posterior wall anteriorly compressing the lumen. (biomedcentral.com)

Renal cell carcinoma (RCC) is a kidney cancer that originates in the lining of the proximal convoluted tubule, a part of the very small tubes in the kidney that transport primary urine. (wikipedia.org)
This classic triad is 1: haematuria, which is when there is blood present in the urine, 2: flank pain, which is pain on the side of the body between the hip and ribs, and 3: an abdominal mass, similar to bloating but larger. (wikipedia.org)

A retrospective analysis was conducted of all patients who underwent nephrectomy over a period of 30 years (1987-2016) in a large tertiary medical center. (ima.org.il)
A total of 1674 patients underwent nephrectomy during the study period. (ima.org.il)
Of those, 553 (33%) and 294 patients (17.5%) underwent left nephrectomy and radical left nephrectomy, respectively. (ima.org.il)
Nephrectomy is indicated in patients with an irreversibly damaged kidney. (urotoday.com)
Nephrectomy is indicated in patients with an irreversibly damaged kidney due to symptomatic chronic infection, calculus disease, or severe traumatic injury. (urotoday.com)

A 48-year-old woman with a left renal tumor and involvement of multiple regional lymph nodes with high accumulation of fluorine-18-deoxyglucose on positron emission tomography was treated with axitinib as a neoadjuvant therapy. (biomedcentral.com)

The outer portion of the kidney is called the renal cortex , which sits directly beneath the kidney's loose connective tissue/fibrous capsule . (wikidoc.org)

The kidney biopsy confirmed clear renal cell carcinoma with poorly differentiated and accompanied by necrosis. (biomedcentral.com)
The gross appearance of XGP is that of a mass of yellow tissue with regional necrosis and hemorrhage, superficially resembling renal cell carcinoma. (medscape.com)

Case 1 imaging examination revealed a left kidney tumor with venous TT (Mayo stage 1) and multiple lung metastases. (biomedcentral.com)

At the outer medulla, the interlobar arteries branch into arcuate arteries, which course along the border between the renal medulla and cortex, giving off still smaller branches, the cortical radial arteries (sometimes called interlobular arteries ). (wikidoc.org)

The exact etiology of xanthogranulomatous pyelonephritis (XGP) is unknown, but it is generally accepted that the disease process requires long-term renal obstruction and infection. (medscape.com)

Furthermore, a transthoracic echocardiogram demonstrated a huge cystic lesion in the left atrium with a thick wall containing fluid and debris. (biomedcentral.com)

We recommended that 13 at-risk individuals from a family with HLRCC should receive active surveillance for early detection of renal cancer. (biomedcentral.com)
Renal cell carcinoma (RCC) is the most common renal cancer. (msdmanuals.com)

Renal capsule intact. (pedsurglibrary.com)
Some of the terminal branches of the interlobular arteries become perforating radiate arteries, which supply the renal capsule. (medscape.com)

Anatomy19

Organisms1

Diseases28

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment31

Phenomena and Processes5

Disciplines and Occupations2

Technology, Industry, Agriculture1

Information Science3

Named Groups1

Health Care10

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Cava17

Vein15

Tumors13

Artery8

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Bilateral5

Laparoscopic10

Retroperitoneal2

Partial3

Hereditary leiomyomatosis2

Pelvis3

Malignant1

Malignancies1

Spleen2

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Neoplasms1

Kidneys4

Adrenal gland1

Perirenal1

Pancreas1

Veins3

Collecting duct1

Tissues1

Pyramids2

Thoracic1

Prostatectomy1

Wilms3

Anatomy1

Thrombectomy2

Arises1

Metastatic2

Invades1

Anteriorly1

Urine2

Patients5

Involvement1

Fibrous1

Necrosis2

Metastases1

Interlobar arteries1

Generally1

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Cancer2

Capsule2