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, TurkeyMustafa Bilal Tuna
– MD, Acibadem Maslak Hospital, Department of Urology, Is, Istanbul, TurkeyOmer Burak Argun
– Istanbul, Istanbul, TurkeyIlter Tufek
– Istanbul, Istanbul, TurkeyFaruk Ozcan
– Istanbul, Istanbul, TurkeyAli Riza Kural
– Istanbul, Istanbul, TurkeyMD
Acibadem Maslak Hospital, Department of Urology
Is, Istanbul, Turkey