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Robot‐assisted hepatic mobilization and control of suprahepatic infradiaphragmatic inferior vena cava for level 3 vena caval thrombectomy: An IDEAL stage 0 study
Author(s) -
Sood Akshay,
Jeong Wooju,
Barod Ravi,
Bahnson Eamonn,
Kirura Parfait,
Abdollah Firas,
Bhandari Mahendra,
Bahnson Robert,
Me Mani
Publication year - 2015
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23980
Subject(s) - medicine , inferior vena cava , stage (stratigraphy) , surgery , ideal (ethics) , vena cava , radiology , law , biology , political science , paleontology
Robot‐assisted level 1/2 inferior vena caval (IVC) thrombectomy techniques have been recently described for clinical use. Following the IDEAL recommendations on safe surgical innovation, we here describe a robotic approach for level 3 IVC thrombectomy in fresh frozen cadavers (IDEAL stage 0). In all cadavers (n = 3), hepatic mobilization with control of short hepatic veins, contralateral renal vein, infrarenal IVC and suprahepatic‐infradiaphragmatic IVC could be achieved successfully, without converting to open surgery. Clinical feasibility of our technique remains to be tested. J. Surg. Oncol. 2015;112:741–745 . © 2015 Wiley Periodicals, Inc.