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Complete Laparoscopic Radical Resection of Perihilar Cholangiocarcinoma Type IIIb

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Laparoscopic radical nephrectomy for T3b tumor.

Marcin Słojewski¹, Adam Gołab, Piotr Petrasz

¹Department of Urology and Urological Oncology, Pomeranian Medical University, Szczecin, Poland. mslojewski@csv.pl

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A

|January 27, 2010

Summary

Laparoscopic nephrectomy with retroperitoneoscopic access successfully treated renal vein and vena cava thrombus in a clear cell cancer patient. This minimally invasive approach offers a viable option for complex renal tumor cases.

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Area of Science:

Urology
Surgical Oncology
Minimally Invasive Surgery

Background:

Laparoscopic nephrectomy is increasingly reported for complex cases.
Preoperative diagnosis of venous system involvement in renal tumors is becoming more common.

Observation:

A case of laparoscopic nephrectomy using retroperitoneoscopic access is presented.
The patient had a preoperatively diagnosed renal vein and vena cava thrombus.

Findings:

The procedure took 130 minutes with 50 mL blood loss.
Pathology confirmed pT3b clear cell cancer (Fuhrman grade 2) with negative venous margins.

Implications:

Retroperitoneoscopic laparoscopic nephrectomy is a feasible approach for renal tumors with venous thrombus.
Minimally invasive surgery can achieve oncological safety in complex renal cancer cases.