MP30-20 SUPRARENAL VENA CAVA RESECTION WITHOUT RECONSTRUCTION

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery II1 Apr 2017MP30-20 SUPRARENAL VENA CAVA RESECTION WITHOUT RECONSTRUCTION Cory Hugen, Jeffrey Loh-Doyle, Anne Schuckman, Hooman Djaladat, and Siamak Daneshmand Cory HugenCory Hugen More articles by this author , Jeffrey Loh-DoyleJeffrey Loh-Doyle More articles by this author , Anne SchuckmanAnne Schuckman More articles by this author , Hooman DjaladatHooman Djaladat More articles by this author , and Siamak DaneshmandSiamak Daneshmand More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.953AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Inferior vena cava (IVC) resection is sometimes required for complete extirpation of retroperitoneal tumors. Most often this resection is limited to the inferior vena cava below the level of the renal veins due to fears of poor renal function following resection. Additionally, when the inferior vena cava is resected superior to the renal veins, a graft is often used to re-establish venous flow. We report our series of patients who underwent suprarenal IVC resection below the hepatic veins without graft replacement METHODS With IRB approval we retrospectively identified all patients who underwent suprarenal IVC resection between 2010-2016. Demographic, intraoperative, functional, pathologic, and outcome data were compiled. RESULTS A total of 16 patients were identified during the study period. Patient demographics, pathology, and functional outcomes can be seen in Table 1. Fourteen of the 16 patients had renal cell carcinoma while one patient had testicular carcinoma and one patient had adrenocortical carcinoma. None of the patients underwent concomitant vena cava reconstruction. Overall, renal function was preserved in all patients and no patient required dialysis. Four patients had a symptomatic DVT following surgery and 3 patients had persistent lower extremity edema at three months. There was one death within 30 days. CONCLUSIONS Suprarenal IVC resection is safe, feasible, and does not necessarily require routine vena cava reconstruction. There was 1 mortality within 30 days and renal function was preserved in all patients. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e397 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Cory Hugen More articles by this author Jeffrey Loh-Doyle More articles by this author Anne Schuckman More articles by this author Hooman Djaladat More articles by this author Siamak Daneshmand More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...