Partial nephrectomy case report: Lower pole segmental vein thrombus

Here we present a case of a partial nephrectomy of a mass with unanticipated but recognized segmental vein involvement. We were able to safely and completely remove the mass with its vein component and will describe in this video some visual cues and tips for both the surgeon and, importantly, the b...

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Main Authors: Brian Calio, Tara Morgan
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Urology Video Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590089725000076
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author Brian Calio
Tara Morgan
author_facet Brian Calio
Tara Morgan
author_sort Brian Calio
collection DOAJ
description Here we present a case of a partial nephrectomy of a mass with unanticipated but recognized segmental vein involvement. We were able to safely and completely remove the mass with its vein component and will describe in this video some visual cues and tips for both the surgeon and, importantly, the bedside assistant that can help aid in identification and removal of such tumors while minimizing the risk of leaving cancer behind. In this video we hope to convey the importance of a visual recognition of the tissue plane between the mass and the parenchyma, the need for a coordinated exposure between the surgeon and beside assistant to allow for optimal visualization of the tissue plane; as well as the anticipation for irregular tumor growth and the implementation of appropriate adjustments to minimize positive surgical margins.
format Article
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issn 2590-0897
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publishDate 2025-03-01
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series Urology Video Journal
spelling doaj-art-76d1a4ca9e0b4bc88faa43cd2b4f36782025-08-20T03:02:07ZengElsevierUrology Video Journal2590-08972025-03-012510033110.1016/j.urolvj.2025.100331Partial nephrectomy case report: Lower pole segmental vein thrombusBrian Calio0Tara Morgan1Department of Urology, Duke University School of Medicine, Raleigh, NC, United StatesCorresponding author.; Department of Urology, Duke University School of Medicine, Raleigh, NC, United StatesHere we present a case of a partial nephrectomy of a mass with unanticipated but recognized segmental vein involvement. We were able to safely and completely remove the mass with its vein component and will describe in this video some visual cues and tips for both the surgeon and, importantly, the bedside assistant that can help aid in identification and removal of such tumors while minimizing the risk of leaving cancer behind. In this video we hope to convey the importance of a visual recognition of the tissue plane between the mass and the parenchyma, the need for a coordinated exposure between the surgeon and beside assistant to allow for optimal visualization of the tissue plane; as well as the anticipation for irregular tumor growth and the implementation of appropriate adjustments to minimize positive surgical margins.http://www.sciencedirect.com/science/article/pii/S2590089725000076KidneyOncologyRobotic surgeryPartial nephrectomy
spellingShingle Brian Calio
Tara Morgan
Partial nephrectomy case report: Lower pole segmental vein thrombus
Urology Video Journal
Kidney
Oncology
Robotic surgery
Partial nephrectomy
title Partial nephrectomy case report: Lower pole segmental vein thrombus
title_full Partial nephrectomy case report: Lower pole segmental vein thrombus
title_fullStr Partial nephrectomy case report: Lower pole segmental vein thrombus
title_full_unstemmed Partial nephrectomy case report: Lower pole segmental vein thrombus
title_short Partial nephrectomy case report: Lower pole segmental vein thrombus
title_sort partial nephrectomy case report lower pole segmental vein thrombus
topic Kidney
Oncology
Robotic surgery
Partial nephrectomy
url http://www.sciencedirect.com/science/article/pii/S2590089725000076
work_keys_str_mv AT briancalio partialnephrectomycasereportlowerpolesegmentalveinthrombus
AT taramorgan partialnephrectomycasereportlowerpolesegmentalveinthrombus