V7-05 A SINGLE SURGEON EXPERIENCE WITH ROBOT-ASSISTED IVC THROMBECTOMY INCLUDING SYNTHETIC CAVAL PATCH REPAIR

Abstract

INTRODUCTION AND OBJECTIVES: Robotic Retroperitoneal Lymphnode Dissection (RPLND) is an emerging option for those undergoing both primary and post-chemotherapy treatment. While open RPLND has previously been the standard of care, however, as surgeons have become more accomplished utilizing robotic assistance so to has this procedure evolved. The post-chemotherapy patient usually presents a specific challenge due to the dense fibrosis associate with this. In this video we present particularly unique case in a patient with duplicated inferior vena cava. Our objective is to demonstrate an interesting and safe means of RPLND utilizing robotic assistance. METHODS: A robotic approach was utilized to perform a bilateral template dissection of the retroperitoneum sparing the right sympathetic chain and superior hypogastric plexus. RESULTS: Further studies are needed to validate the oncologic efficacy of the approach against the standard open approach. CONCLUSIONS: Robotic RPLND in the post-chemotherapy is a safe and feasible alternative to open RPLND with reduced morbidity.