Inferior vena cava anomalies during laparoscopic retroperitoneal lymph node dissection.

Abstract:

PURPOSE:To report our experience with congenital inferior vena cava (IVC) anomalies found during laparoscopic retroperitoneal lymph node dissection (LRPLND). PATIENTS AND METHODS:Two men with a mean age of 31.5 years (range 26-37 years) underwent LRPLND because of nonseminomatous germ-cell tumors (NSGCT) between December 2003 and July 2004. A four-port technique was used. A left IVC anomaly was found in both patients. The two operations were performed with no serious immediate complications and minimal blood loss. Congenital IVC anomalies were identified intraoperatively. A left-sided template modified because of anatomic variation was used. RESULTS:Mean operative time was 95 minutes (range 60-130 min). Both patients remain without tumor recurrence at a median of 24.5 months of follow-up (range 15-34 months). CONCLUSION:Although uncommon, IVC anomalies must be considered when performing LRPLND because of potential complications. Preoperative studies are essential in surgical planning.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Castillo OA,Sanchez-Salas R,Alvarez JM,Vitagliano G,Cortes O

doi

10.1089/end.2007.0112

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

327-31

issue

2

eissn

0892-7790

issn

1557-900X

journal_volume

22

pub_type

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