Category: Robotic Surgery: UpperTract - Malignant
Introduction & Objective : A persistent left superior vena cava (VCSSP) is the most common variation of the thoracic venous system. A VCSSP comes in 0.3% of the population. Left sided vena cava occurs due to persistance of left supracardinal vein and may go unnoticed either by radiologist or surgeon before the operation.
Methods : Eighthy nine years old female patient applied to our clinic without any symptom, and incidentally discovered renal mass. Abdominal MRI showed 29.7x28.3x32.7 mm mass on medial zone-inner pole of left kidney. Left sided vena cava was not reported by radiologist. Tumour Padoa score was 11. Robotic partial nephrectomy have been done to patient.
Results : Operation period was 150 minutes and bleeding was 200ml in unidentified venous type. Ischemia period calculated as 20 minutes and no intaoperative complication have been seen. Patient hospitalized for 3 days and postoperatively 3rd month computed tomoghraphy of abdomen had showed no recurrence.
Conclusions : Either surgeon or radiologist should be aware of persistent left sided vena cava and surgeon must keep on mind challenging side of that type cases.
Kamranbay Gasimov– Research Assistant, Istanbul University, Istanbul, Istanbul, Turkey
Mustafa Bilal Tuna– MD, Acibadem Maslak Hospital, Department of Urology, Is, Istanbul, Turkey
Omer Burak Argun– Istanbul, Istanbul, Turkey
Ilter Tufek– Istanbul, Istanbul, Turkey
Faruk Ozcan– Istanbul, Istanbul, Turkey
Ali Riza Kural– Istanbul, Istanbul, Turkey
Acibadem Maslak Hospital, Department of Urology
Is, Istanbul, Turkey