A case of laparoscopic radical nephrectomy in right renal cell carcinoma with left inferior vena cava

We present a case of laparoscopic radical nephrectomy in right renal cell carcinoma with left inferior vena cava in a 65-year-old male. Abdominal contrasted CT scan revealed that the left inferior vena cava crossed the aorta at the level of third lumbar vertebra. Laparoscopic radical nephrectomy was...

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Published inHinyokika kiyo. Acta urologica Japonica Vol. 55; no. 7; pp. 413 - 415
Main Authors Kubota, Yasuaki, Soeda, Syuichi, Nakajima, Nobuyuki, Nitta, Masahiro, Hanai, Kazuya, Hoshi, Akio, Murota, Akiko, Shima, Masanori, Usui, Yukio, Terachi, Toshiro
Format Journal Article
LanguageJapanese
Published Japan 01.07.2009
Subjects
Aged
Carcinoma, Renal Cell - surgery
Humans
Kidney Neoplasms - surgery
Laparoscopy
Male
Nephrectomy - methods
Vena Cava, Inferior - abnormalities
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Summary:We present a case of laparoscopic radical nephrectomy in right renal cell carcinoma with left inferior vena cava in a 65-year-old male. Abdominal contrasted CT scan revealed that the left inferior vena cava crossed the aorta at the level of third lumbar vertebra. Laparoscopic radical nephrectomy was performed transperitoneally. A right gonadal vein drained into the right renal vein. We indentified a right renal vein easily with tracing the right gonadal vein. Left inferior vena cava is a very rare congenital anomaly among malformation of inferior vena cava. Recognition of such venous anomalies and making a detailed strategy before operation is important especially in laparoscopic surgery.
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ISSN:0018-1994