Method of laparoscopic radical nephrectomy with inferior vena cava as anatomic landmark
Huang Shiqiao1, Hao Baoliang2, Xu Yong3,
1Department of Urology, Shandong Shanxian Central Hospital, Hezhe 274300, China; 2Department of Urology, Liaoning Laoyang Central Hospital; 3Department of Urology, Chinese PLA General Hospital
Abstract：Objective: To discuss the value of inferior vena cava as an anatomical landmark used in rapid and safe retroperitoneal laparoscopic right radical nephrectomy. Methods: The laparoscopic rightradical nephrectomy using the inferior vena cava as an anatomical landmark was performed on 39 cases from March to October in 2015, including 22 males and 17 females, with average age of 50 years old, and the diameter of tumor between 3.5-8.0 cm. Hasson open technology was applied to establish the retroperitoneal cavity, and then the laparoscopic sleeve was placed. Retroperitoneal laparoscopic right radical nephrectomy was done with the anatomic marker of the inferior vena cava. Results: Retroperitoneal laparoscopic right radical nephrectomy was successfully performed on 39 cases without conversion to open operation. The operation time ranged 30 min to 90 min, blood loss ranged from 10 to 50 mL, and 39 cases had no operative complications. Conclusions: Inferior vena cava is an reliable anatomic marker in the right retroperitoneal laparoscopic radical nephrectomy, and it facilitates the detection of the renal artery and the control of right renal vein.
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