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Updated: Mar 15, 2026

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection

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Inferior Vena Cava Resection and Reconstruction for Tumoral Recurrence after Right Nephrectomy.

Pv-H Botianu, R Chirtes, C Marcu

Chirurgia (Bucharest, Romania : 1990)

|September 9, 2016

Summary

A patient with recurrent papillary renal carcinoma underwent complex surgery for a retroperitoneal mass invading the inferior vena cava. Successful en-bloc resection and vascular reconstruction were achieved, with no signs of relapse at 6 months.

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Area of Science:

Oncology
Vascular Surgery
Surgical Oncology

Background:

A 60-year-old patient presented with local recurrence of papillary renal carcinoma (pT3a) with sarcomatoid differentiation, two years post-right nephrectomy.
Imaging revealed a retroperitoneal mass with invasion of the inferior vena cava, necessitating advanced surgical intervention.

Observation:

The patient underwent a complete en-bloc excision of the retroperitoneal tumor, including the infrarenal inferior vena cava and associated lymph nodes.
Vascular reconstruction was successfully performed using a 20 mm diameter Dacron prosthesis to restore blood flow.

Findings:

Postoperative recovery was complicated by a duodenal ulcer with digestive bleeding, managed conservatively with antisecretory and hemostatic agents, including recombinant activated factor VIIa (rFVIIa).
At 6-month follow-up, the patient showed no evidence of tumor recurrence and maintained a functional vascular prosthesis.

Implications:

This case highlights the feasibility of surgical management for retroperitoneal tumors with inferior vena cava involvement in specialized centers.
The successful outcome underscores the importance of a multidisciplinary approach and advanced surgical techniques for complex oncological resections.