Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Patient Safety in Surgery
Published in: Patient Safety in Surgery 1/2012

Open Access 01-12-2012 | Review

Development of a surgical safety checklist for the performance of radical nephrectomy and tumor thrombectomy

Authors: Shivam Joshi, Michael A Gorin, Rajinikanth Ayyathurai, Gaetano Ciancio

Published in: Patient Safety in Surgery | Issue 1/2012

Login to get access

Abstract

Background

The surgical management of renal cell carcinoma with invasion of the renal vein or inferior vena cava is associated with significant rates of perioperative morbidity and mortality. In this report we propose a surgical checklist aimed at reducing adverse events associated with the resection of these tumors.

Methods

This review describes the development of an evidence- and experience-based surgical checklist aimed at improving the perioperative safety of patients undergoing radical nephrectomy and tumor thrombectomy.

Results

Reducing the risk of complications during the surgical management of renal tumors with venous invasion begins with appropriate pre-operative imaging aimed at defining the cranial extent of the tumor thrombus, thus facilitating accurate preoperative planning. Other key elements of the checklist are aimed at ensuring clear and precise pre-, intra- and postoperative communication between members of the multidisciplinary-care team.

Conclusion

A standardized surgical checklist may help to increase the perioperative safety of patients undergoing radical nephrectomy and tumor thrombectomy. Future validation studies are required to determine the clinical feasibility and post-implementation safety profile of this new checklist.
Appendix
Available only for authorised users
Literature
1.
Kim HL, Zisman A, Han KR, Figlin RA, Belldegrun AS: Prognostic significance of venous thrombus in renal cell carcinoma. Are renal vein and inferior vena cava involvement different?. J Urol. 2004, 171: 588-591. 10.1097/01.ju.0000104672.37029.4b.CrossRefPubMed
2.
Sweeney P, Wood CG, Pisters LL, Slaton JW, Vaporciyan A, Munsell M, Carpenter S, Putnam J, Swisher SG, Walsh G, Swanson D, Dinney CP: Surgical management of renal cell carcinoma associated with complex inferior vena caval thrombi. Urol Oncol. 2003, 21: 327-333. 10.1016/S1078-1439(02)00280-6.CrossRefPubMed
3.
Kaag MG, Toyen C, Russo P, Cronin A, Thompson RH, Schiff J, Bernstein M, Bains M: Radical nephrectomy with vena caval thrombectomy: a contemporary experience. BJU Int. 2011, 107: 1386-1393. 10.1111/j.1464-410X.2010.09661.x.PubMedCentralCrossRefPubMed
4.
Blute ML, Leibovich BC, Lohse CM, Cheville JC, Zincke H: The Mayo Clinic experience with surgical management, complications and outcome for patients with renal cell carcinoma and venous tumour thrombus. BJU Int. 2004, 94: 33-41. 10.1111/j.1464-410X.2004.04897.x.CrossRefPubMed
5.
6.
Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP, Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA, Safe Surgery Saves Lives Study Group: A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009, 360: 491-499. 10.1056/NEJMsa0810119.CrossRefPubMed
7.
Gawande AA: The Checklist Manifesto. 2009, New York: Metropolitan Books
8.
Pan D, Soloway MS: The importance of transurethral resection in managing patients with urothelial cancer in the bladder: proposal for a transurethral resection of bladder tumor checklist. Eur Urol. 2012, 61: 1199-1203. 10.1016/j.eururo.2012.03.018.CrossRefPubMed
9.
Nepple KG, Sandhu GS, Rogers CG, Allaf ME, Kaouk JH, Figenshau RS, Stifelman MD, Bhayani SB: Description of a multicenter safety checklist for intraoperative hemorrhage control while clamped during robotic partial nephrectomy. Patient Saf Surg. 2012, 6: 8-10.1186/1754-9493-6-8.PubMedCentralCrossRefPubMed
10.
Martinez-Salamanca JI, Huang WC, Millan I, Bertini R, Bianco FJ, Carballido JA, Ciancio G, Hernandez C, Herranz F, Haferkamp A, Hohenfellner M, Hu B, Koppie T, Martinez-Ballesteros C, Montorsi F, Palou J, Pontes JE, Russo P, Terrone C, Villavicencio H, Volpe A, Libertino JA, International Renal Cell Carcinoma-Venous Thrombus Consortium: Prognostic impact of the 2009 UICC/AJCC TNM staging system for renal cell carcinoma with venous extension. Eur Urol. 2011, 59: 120-127. 10.1016/j.eururo.2010.10.001.CrossRefPubMed
11.
Slaton JW, Balbay MD, Levy DA, Pisters LL, Nesbitt JC, Swanson DA, Dinney CP: Nephrectomy and vena caval thrombectomy in patients with metastatic renal cell carcinoma. Urology. 1997, 50: 673-677. 10.1016/S0090-4295(97)00329-4.CrossRefPubMed
12.
Karnes RJ, Blute ML: Surgery insight: management of renal cell carcinoma with associated inferior vena cava thrombus. Nat Clin Pract Urol. 2008, 5: 329-339.PubMed
13.
Ayyathurai R, Garcia-Roig M, Gorin MA, Gonzalez J, Manoharan M, Kava BR, Soloway MS, Ciancio G: Bland thrombus association with tumour thrombus in renal cell carcinoma: analysis of surgical significance and role of inferior vena caval interruption. BJU Int. 2012, 10.1111/j.1464-410X.2012.11128.x. Epub ahead of print
14.
Oto A, Herts BR, Remer EM, Novick AC: Inferior vena cava tumor thrombus in renal cell carcinoma: staging by MR imaging and impact on surgical treatment. AJR Am J Roentgenol. 1998, 171: 1619-1624.CrossRefPubMed
15.
Hallscheidt PJ, Fink C, Haferkamp A, Bock M, Luburic A, Zuna I, Noeldge G, Kauffmann G: Preoperative staging of renal cell carcinoma with inferior vena cava thrombus using multidetector CT and MRI: prospective study with histopathological correlation. J Comput Assist Tomogr. 2005, 29: 64-68. 10.1097/01.rct.0000146113.56194.6d.CrossRefPubMed
16.
Woodruff DY, Van Veldhuizen P, Muehlebach G, Johnson P, Williamson T, Holzbeierlein JM: The perioperative management of an inferior vena caval tumor thrombus in patients with renal cell carcinoma. Urol Oncol. 2011, Epub ahead of print
17.
Gorin MA, Garcia-Roig M, Shirodkar SP, Gonzalez J, Ciancio G: Modified surgical technique for the management of renal cell carcinoma with level I or II tumor thrombus. Urology. 2012, 79: 478-481. 10.1016/j.urology.2011.07.1441.CrossRefPubMed
18.
Ciancio G, Vaidya A, Savoie M, Soloway M: Management of renal cell carcinoma with level III thrombus in the inferior vena cava. J Urol. 2002, 168: 1374-1377. 10.1016/S0022-5347(05)64452-7.CrossRefPubMed
19.
Ciancio G, Shirodkar SP, Soloway MS, Livingstone AS, Barron M, Salerno TA: Renal carcinoma with supradiaphragmatic tumor thrombus: avoiding sternotomy and cardiopulmonary bypass. Ann Thorac Surg. 2010, 89: 505-510. 10.1016/j.athoracsur.2009.11.025.CrossRefPubMed
20.
Ciancio G, Soloway M: Resection of the abdominal inferior vena cava for complicated renal cell carcinoma with tumour thrombus. BJU Int. 2005, 96: 815-818. 10.1111/j.1464-410X.2005.05719.x.CrossRefPubMed
21.
Gonzalez J, Angulo J, Ciancio G: Surgical management of renal cell cancer with tumor thrombus through an exclusive transabdominal approach. Arch Esp Urol. 2011, 64: 297-309.PubMed
22.
Khoury GF, Mann ME, Porot MJ, Abdul-Rasool IH, Busuttil RW: Air embolism associated with veno-venous bypass during orthotopic liver transplantation. Anesthesiology. 1987, 67: 848-851. 10.1097/00000542-198711000-00048.CrossRefPubMed
23.
Chari RS, Gan TJ, Robertson KM, Bass K, Camargo CA, Greig PD, Clavien PA: Venovenous bypass in adult orthotopic liver transplantation: routine or selective use?. J Am Coll Surg. 1998, 186: 683-690. 10.1016/S1072-7515(98)00101-X.CrossRefPubMed
24.
Clayman RV, Gonzalez R, Fraley EE: Renal cancer invading the inferior vena cava: clinical review and anatomical approach. J Urol. 1980, 123: 157-163.PubMed
25.
Stewart JR, Carey JA, McDougal WS, Merrill WH, Koch MO, Bender HW: Cavoatrial tumor thrombectomy using cardiopulmonary bypass without circulatory arrest. Ann Thorac Surg. 1991, 51: 717-721. 10.1016/0003-4975(91)90111-3. discussion 721-2CrossRefPubMed
26.
Novick AC, Kaye MC, Cosgrove DM, Angermeier K, Pontes JE, Montie JE, Streem SB, Klein E, Stewart R, Goormastic M: Experience with cardiopulmonary bypass and deep hypothermic circulatory arrest in the management of retroperitoneal tumors with large vena caval thrombi. Ann Surg. 1990, 212: 472-476. 10.1097/00000658-199010000-00010. discussion 476-7PubMedCentralCrossRefPubMed
27.
Nesbitt JC, Soltero ER, Dinney CP, Walsh GL, Schrump DS, Swanson DA, Pisters LL, Willis KD, Putnam JB: Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus. Ann Thorac Surg. 1997, 63: 1592-1600. 10.1016/S0003-4975(97)00329-9.CrossRefPubMed
Metadata
Title
Development of a surgical safety checklist for the performance of radical nephrectomy and tumor thrombectomy
Authors
Shivam Joshi
Michael A Gorin
Rajinikanth Ayyathurai
Gaetano Ciancio
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Patient Safety in Surgery / Issue 1/2012
Electronic ISSN: 1754-9493
DOI
https://doi.org/10.1186/1754-9493-6-27

Other articles of this Issue 1/2012

Patient Safety in Surgery 1/2012 Go to the issue

Research

Malpractice awareness among surgeons at a teaching hospital in Pakistan

Case report

The dangers of damage control orthopedics: a case report of vascular injury after femoral fracture external fixation

Case report

Pyonephrosis and urosepsis in a 41-year old patient with spina bifida: Case report of a preventable death

Case report

Cement-augmented dorsal instrumentation of the spine as a safe adjunct to the multimodal management of metastatic pheochromocytoma: a case report

Editorial

The 5th anniversary of “Patient Safety in Surgery” – from the Journal’s origin to its future vision

Case report

A clinical "near miss" highlights risk management issues surrounding ultrasound-guided and wire-localised breast resections