Minimally invasive approach to the supradiaphragmatic inferior vena cava: Total thoracoscopic caval isolation

Dawn S. Hui, Inderbir S. Gill, Mark J. Cunningham

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Minimally invasive techniques for cardiac operations have evolved in safety and popularity. To our knowledge, a thoracoscopic technique for control of the inferior vena cava (IVC) has not been previously described. We report a case of a right renal cell cancer with tumor extension into the IVC. Total thoracoscopic isolation and occlusion of the IVC were performed. Intraoperative real-time transesophageal echocardiography confirmed complete cessation of caval flow upon cinching the Rummel tourniquet. As extensive intra-abdominal operations are more often being attempted laparoscopically or robotically, video-assisted thoracoscopic IVC occlusion for proximal control for tumors extending into the cava can be achieved to offer a minimally invasive thoracic approach.

Original languageEnglish (US)
Pages (from-to)145-147
Number of pages3
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume9
Issue number2
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Inferior vena cava
  • Renal cell cancer
  • Thoracoscopy
  • Thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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