Is Left Renal Vein Ligation Benign? A Novel Method for Maintaining Left Renal Venous Outflow During Extensive Inferior Vena Caval Resection.

Kiell, Charles S.; Barksdale, Andrew R.

doi:10.1016/j.jvs.2014.09.058

Cited by 1 publication

(2 citation statements)

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“…In our literature search, renoplasty of the renal ostia was found to be an effective means of preserving the kidney 13. As the tumour is excised from the renal vein, the renal ostia remain connected to the IVC through a prosthesis, preserving renal outflow 13. While we did not do a renoplasty, the robust venous collateral drainage of the left kidney allowed us to perform a renal-sparing technique.…”

Section: Discussionmentioning

confidence: 96%

“…The collateral drainage for our patient’s left kidney can be visualised in figure 1, which depicts the left renal hilum with venous drainage inferiorly towards the inferior mesenteric vein. In our literature search, renoplasty of the renal ostia was found to be an effective means of preserving the kidney 13. As the tumour is excised from the renal vein, the renal ostia remain connected to the IVC through a prosthesis, preserving renal outflow 13.…”

Section: Discussionmentioning

confidence: 99%

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Resection of primary left renal vein leiomyosarcoma with renal preservation following an unusual clinical presentation

Cholankeril,

Lou,

Spitz

et al. 2024

BMJ Case Rep

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An elderly man was referred to vascular surgery on incidental discovery of a left retroperitoneal mass ultimately found to be of left renal vein (LRV) origin. He initially presented with recurring lower back pain. CT of the abdomen/pelvis showed a 6.0×5.5 cm lobulated retroperitoneal mass anterior to the infrarenal aorta. Resection of the mass necessitated a multidisciplinary team consisting of medical oncologists, radiation oncologists, urologists and vascular surgeons. In efforts to obtain an R0 margin, en-bloc resection of the LRV from its confluence with the inferior vena cava (IVC) was necessary. A primary repair of the IVC was performed with preservation of the left kidney. The patient’s back pain has since resolved after the surgery. A literature search found IVC reconstructions to be safe and effective in the removal of vascular leiomyosarcomas.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%