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Ligation of the Left Renal Vein in a Patient with Clear Cell Renal Carcinoma with Tumor Thrombosis of the Inferior Vena Cava and Right Renal Vein

Year: 2025

Type: article

Abstract: Left renal vein ligation is routinely performed to improve surgical exposure of the abdominal aorta, with documented short- and long-term safety. However, there is controversy in the literature regarding its impact on postoperative renal function. We will describe the diagnostic and surgical approach of a 54-year-old male patient with clear cell renal cell carcinoma and tumor thrombosis of the inferior vena cava and right renal vein. An inferior vena cava suprarenal filter was placed prior to right radical nephrectomy, partial inferior vena cava resection, appendectomy, and cholecystectomy with ligation of the left renal vein. This clinical case will help us understand the importance of using this procedure to achieve good surgical exposure and how to perform it safely in selected cases without significant deterioration of renal function, as demonstrated by the available literature.

Source: Zenodo (CERN European Organization for Nuclear Research)

DOI: 10.5281/zenodo.15811935

Authors: Medina-Campos Claudia R., Arreola-Ramírez Daniel A., Encinas-Garcia Jorge A., Guzmán-Martínez Nancy B., Vázquez-Lastra Carlos, Rojas-Reyna Guillermo, García-Félix Itzel G.

Institutions: Centro Médico ABC, Institute for Social Security and Services for State Workers, Mexican Social Security Institute

Language: English

Topic: Renal cell carcinoma treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W6949639448

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