Robot-Assisted Radical Nephrectomy with Inferior Vena Cava Thrombectomy
https://doi.org/10.35401/2541-9897-2026-11-1-116-122
Abstract
Background: Robot-assisted radical nephrectomy with inferior vena cava (IVC) thrombectomy for renal cell carcinoma (RCC) is a complex intervention whose development requires evaluation in comparison with the traditional open method.
Objective: To evaluate the efficacy, safety, and technical features of robot-assisted radical nephrectomy (RARN) with IVC thrombectomy.
Materials and methods: A systematic literature search was conducted in databases (PubMed, Google Scholar, eLibrary) from 1987 to 2025 using keywords related to RCC, IVC tumor thrombus, and robot-assisted surgery.
Conclusion: The review demonstrates that RARN with IVC thrombectomy is a feasible and safe alternative to open surgery, providing comparable operative time while offering significant advantages: reduced intraoperative blood loss, frequency of blood transfusions, overall complication rate, and length of hospital stay. Implementation of the method requires a multidisciplinary approach, highly qualified surgical team, and careful patient selection. Further multicenter prospective studies are necessary for final confirmation of efficacy and standardization of the technique.
About the Authors
V. L. Medvedev
Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Vladimir L. Medvedev - Dr. Sci. (Med.), Professor, Head of the Urology Department, Kuban State Medical University; Deputy Chief Physician for Urology, Head of the Regional Uronephrolgy Center, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
Krasnodar
V. N. Manuilov
Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Valeriy N. Manuilov - Assistant Professor, Department of Urology, Kuban State Medical University; Urologist, Urology Unit No. 2, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
4 Mitrofana Sedina St., Krasnodar, 350063
A. I. Strelyaev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Alexander I. Strelyaev - Head of the Oncourology Department, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
Krasnodar
Yu. A. Fomenko
Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Yulian A. Fomenko - Postgraduate Student, Urology Department, Kuban State Medical University; Urologist, Urology Unit No. 2, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
Krasnodar
S. N. Lepetunov
Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Sergey N. Lepetunov - Cand. Sci. (Med.), Assistant Professor, Department of Urology, Kuban State Medical University; Urologist, Urology Unit No. 2, Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1.
Krasnodar
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Review
For citations:
Medvedev V.L., Manuilov V.N., Strelyaev A.I., Fomenko Yu.A., Lepetunov S.N. Robot-Assisted Radical Nephrectomy with Inferior Vena Cava Thrombectomy. Innovative Medicine of Kuban. 2026;11(1):116-122. (In Russ.) https://doi.org/10.35401/2541-9897-2026-11-1-116-122
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