Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review

Smith Giscard Olagui; Mariette Nsa Bidzo; Ulrich Davy Ngabou; Ernest Belembaogo

doi:doi:10.11648/j.ijcu.20220602.11

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Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review

Smith Giscard Olagui, Mariette Nsa Bidzo, Ulrich Davy Ngabou, Ernest Belembaogo

Published in International Journal of Clinical Urology (Volume 6, Issue 2)

Received: 6 March 2022 Accepted: 25 May 2022 Published: 20 July 2022

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Abstract

Introduction: Extended total nephrectomy (ENT) is the treatment for localized or locally advanced renal cancer with vena cava tumor thrombus. The existence of a vena cava thrombus imposes a vascular surgery time which increases the intraoperative mortality and morbidity. Purpose: the purpose of this clinical case and to evaluate our surgical management of non-metastatic renal cancer with subdiaphragmatic vena cava thrombus. Observation: This was a 63-year-old patient who had presented disabling right low back pain associated with macroscopic haematuria no signs of deglobulization on biological examination. The morphological assessment was carried out using an abdominal computed tomography, which revealed a right kidney tumor classified as T3bN1. A tumor extension assessment by thoracic computed tomography was performed afterwards. There were no remote secondary lesions (M0). After CPR discussion, we performed ENT with lymph node dissection associated with inferior vena cava thrombectomy. The post-operative follow-up had been simple. Controls were carried out at 1 month then every 6 months for 1 year and every year for 5 years. There was no local, loco regional or distant recurrence. Conclusion: Kidney cancer with non-metastatic vena cava thrombus represents a locally advanced form whose surgical management must be well assessed, in terms of the increased risk of perioperative morbidity and mortality.

Published in	International Journal of Clinical Urology (Volume 6, Issue 2)
DOI	10.11648/j.ijcu.20220602.11
Page(s)	66-70
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Renal Carcinoma, Venous Thrombus, Extended Total Nephrectomy

References

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[5]	Zhang Y, Tian X, Bi H, Hong P, Liu Z, Yan Y, Liu C, Ma L. Oncologic Outcomes of Renal Cell Carcinoma Patients Undergoing Radical Nephrectomy and Venous Thrombectomy: Prospective Follow-Up from a Single Center. J Oncol. 2022 Mar 17; 2022: 9191659.
[6]	Ueki H, Terakawa T, Ueno Y, Sofue K, Horii S, Okamura Y, Bando Y, Hara T, Furukawa J, Harada K, Hinata N, Nakano Y, Murakami T, Fujisawa M. Efficacy of preoperative cine magnetic resonance imaging in evaluation of adhesion of renal cancer thrombus to inferior vena cava wall. J Vasc Surg Venous Lymphat Disord. 2022 Mar 18: S2213-333X (22)00101-9.
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APA Style

Smith Giscard Olagui, Mariette Nsa Bidzo, Ulrich Davy Ngabou, Ernest Belembaogo. (2022). Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review. International Journal of Clinical Urology, 6(2), 66-70. https://doi.org/10.11648/j.ijcu.20220602.11

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ACS Style

Smith Giscard Olagui; Mariette Nsa Bidzo; Ulrich Davy Ngabou; Ernest Belembaogo. Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review. Int. J. Clin. Urol. 2022, 6(2), 66-70. doi: 10.11648/j.ijcu.20220602.11

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AMA Style

Smith Giscard Olagui, Mariette Nsa Bidzo, Ulrich Davy Ngabou, Ernest Belembaogo. Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review. Int J Clin Urol. 2022;6(2):66-70. doi: 10.11648/j.ijcu.20220602.11

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@article{10.11648/j.ijcu.20220602.11,
  author = {Smith Giscard Olagui and Mariette Nsa Bidzo and Ulrich Davy Ngabou and Ernest Belembaogo},
  title = {Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {2},
  pages = {66-70},
  doi = {10.11648/j.ijcu.20220602.11},
  url = {https://doi.org/10.11648/j.ijcu.20220602.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220602.11},
  abstract = {Introduction: Extended total nephrectomy (ENT) is the treatment for localized or locally advanced renal cancer with vena cava tumor thrombus. The existence of a vena cava thrombus imposes a vascular surgery time which increases the intraoperative mortality and morbidity. Purpose: the purpose of this clinical case and to evaluate our surgical management of non-metastatic renal cancer with subdiaphragmatic vena cava thrombus. Observation: This was a 63-year-old patient who had presented disabling right low back pain associated with macroscopic haematuria no signs of deglobulization on biological examination. The morphological assessment was carried out using an abdominal computed tomography, which revealed a right kidney tumor classified as T3bN1. A tumor extension assessment by thoracic computed tomography was performed afterwards. There were no remote secondary lesions (M0). After CPR discussion, we performed ENT with lymph node dissection associated with inferior vena cava thrombectomy. The post-operative follow-up had been simple. Controls were carried out at 1 month then every 6 months for 1 year and every year for 5 years. There was no local, loco regional or distant recurrence. Conclusion: Kidney cancer with non-metastatic vena cava thrombus represents a locally advanced form whose surgical management must be well assessed, in terms of the increased risk of perioperative morbidity and mortality.},
 year = {2022}
}

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TY - JOUR
T1 - Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review
AU - Smith Giscard Olagui
AU - Mariette Nsa Bidzo
AU - Ulrich Davy Ngabou
AU - Ernest Belembaogo
Y1 - 2022/07/20
PY - 2022
N1 - https://doi.org/10.11648/j.ijcu.20220602.11
DO - 10.11648/j.ijcu.20220602.11
T2 - International Journal of Clinical Urology
JF - International Journal of Clinical Urology
JO - International Journal of Clinical Urology
SP - 66
EP - 70
PB - Science Publishing Group
SN - 2640-1355
UR - https://doi.org/10.11648/j.ijcu.20220602.11
AB - Introduction: Extended total nephrectomy (ENT) is the treatment for localized or locally advanced renal cancer with vena cava tumor thrombus. The existence of a vena cava thrombus imposes a vascular surgery time which increases the intraoperative mortality and morbidity. Purpose: the purpose of this clinical case and to evaluate our surgical management of non-metastatic renal cancer with subdiaphragmatic vena cava thrombus. Observation: This was a 63-year-old patient who had presented disabling right low back pain associated with macroscopic haematuria no signs of deglobulization on biological examination. The morphological assessment was carried out using an abdominal computed tomography, which revealed a right kidney tumor classified as T3bN1. A tumor extension assessment by thoracic computed tomography was performed afterwards. There were no remote secondary lesions (M0). After CPR discussion, we performed ENT with lymph node dissection associated with inferior vena cava thrombectomy. The post-operative follow-up had been simple. Controls were carried out at 1 month then every 6 months for 1 year and every year for 5 years. There was no local, loco regional or distant recurrence. Conclusion: Kidney cancer with non-metastatic vena cava thrombus represents a locally advanced form whose surgical management must be well assessed, in terms of the increased risk of perioperative morbidity and mortality.
VL - 6
IS - 2
ER -

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Author Information

Smith Giscard Olagui

Urology and Visceral Service, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Mariette Nsa Bidzo

Urology Department, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Ulrich Davy Ngabou

Vascular Department, Military Instruction of Omar Bongo Ondimba Hospital, Vascular Department, Faculty of Medicine, University of Health Sciences, Libreville, Gabon
Ernest Belembaogo

Oncology Department, Cancer Institute of Libreville (ICL), Faculty of Medicine, University of Health Sciences, Libreville, Gabon

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APA Style

Smith Giscard Olagui, Mariette Nsa Bidzo, Ulrich Davy Ngabou, Ernest Belembaogo. (2022). Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review. International Journal of Clinical Urology, 6(2), 66-70. https://doi.org/10.11648/j.ijcu.20220602.11

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ACS Style

Smith Giscard Olagui; Mariette Nsa Bidzo; Ulrich Davy Ngabou; Ernest Belembaogo. Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review. Int. J. Clin. Urol. 2022, 6(2), 66-70. doi: 10.11648/j.ijcu.20220602.11

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AMA Style

Smith Giscard Olagui, Mariette Nsa Bidzo, Ulrich Davy Ngabou, Ernest Belembaogo. Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review. Int J Clin Urol. 2022;6(2):66-70. doi: 10.11648/j.ijcu.20220602.11

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@article{10.11648/j.ijcu.20220602.11,
  author = {Smith Giscard Olagui and Mariette Nsa Bidzo and Ulrich Davy Ngabou and Ernest Belembaogo},
  title = {Nephrectomy for No Metastatic Renal Cell Carcinoma with Venous Tumor Thrombus About One Case and Literature Review},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {2},
  pages = {66-70},
  doi = {10.11648/j.ijcu.20220602.11},
  url = {https://doi.org/10.11648/j.ijcu.20220602.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220602.11},
  abstract = {Introduction: Extended total nephrectomy (ENT) is the treatment for localized or locally advanced renal cancer with vena cava tumor thrombus. The existence of a vena cava thrombus imposes a vascular surgery time which increases the intraoperative mortality and morbidity. Purpose: the purpose of this clinical case and to evaluate our surgical management of non-metastatic renal cancer with subdiaphragmatic vena cava thrombus. Observation: This was a 63-year-old patient who had presented disabling right low back pain associated with macroscopic haematuria no signs of deglobulization on biological examination. The morphological assessment was carried out using an abdominal computed tomography, which revealed a right kidney tumor classified as T3bN1. A tumor extension assessment by thoracic computed tomography was performed afterwards. There were no remote secondary lesions (M0). After CPR discussion, we performed ENT with lymph node dissection associated with inferior vena cava thrombectomy. The post-operative follow-up had been simple. Controls were carried out at 1 month then every 6 months for 1 year and every year for 5 years. There was no local, loco regional or distant recurrence. Conclusion: Kidney cancer with non-metastatic vena cava thrombus represents a locally advanced form whose surgical management must be well assessed, in terms of the increased risk of perioperative morbidity and mortality.},
 year = {2022}
}

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