Skip to main content
Top

04-05-2024 | Nephrectomy | ASO Author Reflections

ASO Author Reflections: The Impact of Left Renal Vein Dissection on Renal Function in a Solitary Kidney

Authors: Shengzheng Wang, MD, PhD, Pokhrel Gaurab, MD, PhD, Jinshan Cui, MD, PhD, Shuanbao Yu, PhD, Yafeng Fan, MD, Zhaowei Zhu, MD, PhD, Jin Tao, MD, Xuepei Zhang, MD, PhD

Published in: Annals of Surgical Oncology

Login to get access

Excerpt

Radical nephrectomy and tumor thrombectomy is the standard curative treatment approach in cases of renal cancer complicated by inferior vena cava (IVC) thrombosis.1 There is evidence advocating for ligation of the left renal vein (LRV) in individuals with bilateral functioning kidney;2,3 however, the impact of LRV ligation during en bloc resection of right nephrectomy and segmental IVC remain ambiguous. Furthermore, although certain evidence indicates the potential feasibility of LRV ligation in the presence of collateral formation,4 methodologies for evaluating collateral formation and its impact on postoperative renal function status are presently deficient. Previous investigations predominantly focused on tumor control and oncologic outcomes. With the inherit complexity of the disease and necessity of the surgical intervention, there should be a balance between oncological outcomes and the preservation of renal function in these patients. …
Literature
1.
go back to reference Kirkali Z, Van Poppel H. A critical analysis of surgery for kidney cancer with vena cava invasion. Eur Urol. 2007;52:658–62.CrossRefPubMed Kirkali Z, Van Poppel H. A critical analysis of surgery for kidney cancer with vena cava invasion. Eur Urol. 2007;52:658–62.CrossRefPubMed
2.
go back to reference Horodyski L, Gonzalez J, Tabbara MM, et al. En bloc resection of right renal cell carcinoma and inferior vena cava tumor thrombus without caval reconstruction: Is it safe to divide the left renal vein? Front Oncol. 2022;12:877310.CrossRefPubMedPubMedCentral Horodyski L, Gonzalez J, Tabbara MM, et al. En bloc resection of right renal cell carcinoma and inferior vena cava tumor thrombus without caval reconstruction: Is it safe to divide the left renal vein? Front Oncol. 2022;12:877310.CrossRefPubMedPubMedCentral
3.
go back to reference Pandirajan K, Katsogridakis E, Sidloff D, Sayers RD, Bown MJ, Saratzis A. Effects of left renal vein ligation during open abdominal aortic aneurysm repair on renal function. Eur J Vasc Endovasc Surg. 2020;60:829–35.CrossRefPubMed Pandirajan K, Katsogridakis E, Sidloff D, Sayers RD, Bown MJ, Saratzis A. Effects of left renal vein ligation during open abdominal aortic aneurysm repair on renal function. Eur J Vasc Endovasc Surg. 2020;60:829–35.CrossRefPubMed
4.
go back to reference Powell AC, Plitas G, Muhs BE, Stifelman M, Maldonado TS. Left renal vein reconstruction after right nephrectomy and inadvertent left renal vein ligation: a case report and review of the literature. Vasc Endovascular Surg. 2006;40:421–4.CrossRefPubMed Powell AC, Plitas G, Muhs BE, Stifelman M, Maldonado TS. Left renal vein reconstruction after right nephrectomy and inadvertent left renal vein ligation: a case report and review of the literature. Vasc Endovascular Surg. 2006;40:421–4.CrossRefPubMed
Metadata
Title
ASO Author Reflections: The Impact of Left Renal Vein Dissection on Renal Function in a Solitary Kidney
Authors
Shengzheng Wang, MD, PhD
Pokhrel Gaurab, MD, PhD
Jinshan Cui, MD, PhD
Shuanbao Yu, PhD
Yafeng Fan, MD
Zhaowei Zhu, MD, PhD
Jin Tao, MD
Xuepei Zhang, MD, PhD
Publication date
04-05-2024
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-024-15389-4
Webinar | 06-02-2024 | 20:00 (CET)

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Severe pain is the most common symptom of chronic pancreatitis. In this webinar, experts share the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discuss pertinent cases and provide practical suggestions for use within clinical practice.

Sponsored by: Viatris

Developed by: Springer Healthcare