Current Trends in Management of Renal Cell Carcinoma with Venous Thrombus Extension

Abstract

Purpose of Review

To review the evidence regarding the current trends in surgical management of renal cell carcinoma (RCC) with inferior vena cava (IVC) thrombosis. Recent published series have shown the role of minimally invasive surgery in IVC thrombectomy. This review article evaluates the present RCC with venous extent literature to assess the role of open and minimally invasive surgery in this scenario.

Recent Findings

Robotic urological surgery has shown to have known benefits in radical prostatectomy, partial nephrectomy, and pyeloplasty. Recent published series showed feasibility of robotic IVC thrombectomy even for level IV cases.

Summary

With growing number of robot-assisted and laparoscopic surgeries worldwide, there is a current tendency to treat this complex and challenging pathology with a minimally invasive approach, without compromising oncological outcomes.

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Correspondence to Agustin Romeo.

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Alberto Jurado, Agustin Romeo, Guillermo Gueglio, and Patricio Garcia Marchiñena each declare no potential conflicts of interest.

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Jurado, A., Romeo, A., Gueglio, G. et al. Current Trends in Management of Renal Cell Carcinoma with Venous Thrombus Extension. Curr Urol Rep 22, 23 (2021). https://doi.org/10.1007/s11934-021-01036-y

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Keywords

  • Vena cava thrombosis
  • Laparoscopy
  • Radical nephrectomy
  • Renal cell carcinoma
  • Robotic surgery