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Application of laparoscopic ultrasound in retroperitoneal radical nephrectomy for renal cell carcinoma with Type II inferior vena cava tumor thrombectomy
Wen Cao1, Shijun Mi2, Zexing Yu1, Dichen Guo1, Peng Qu1, Xiaoning Liang1, Nianzeng Xing3, Junhui Zhang3, Jianzhong Zhang3, Ruijun Guo1
1 Department of Ultrasound Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China
2 Department of Ultrasound, Fengrun People's Hospital, Tangshan, China
3 Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China
Correspondence Address:
Ruijun Guo,
Department of Ultrasound Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing
China
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijc.IJC_153_18
Background: The aim of this study was to investigate the application value of laparoscopic ultrasound (LU) in retroperitoneal radical nephrectomy for renal cell carcinoma with Type II inferior vena cava tumor thrombectomy (RRN-RCC-TII-IVCTT).
Methods: The clinical data (operative time, length of tumor thrombus, tumor length, intraoperative bleeding, clinical stage, histological type, residual tumor tissue, and postoperative follow-up) of 6 patients who underwent LU-guided RRN-RCC-TII-IVCTT were retrospectively analyzed, and the intraoperative experience of LU was also summarized.
Results: All 6 patients recovered well with liver and kidney functions returning to normal, and no tumor recurrence, metastasis, or vena cava tumor thrombus.
Conclusions: LU-guided RRN-RCC-TII-IVCTT is a feasible treatment option, which locates the tumor accurately by retroperitoneal approach and provides the additional benefit of reduced intraoperative bleeding and shortened operative time, also achieving the much sought-after goal of precision.
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