Reno-Gonadal Venous Anastomosis for Right Renal Venous Drainage Following Juxtarenal Cavectomy for Renal Cell Carcinoma

TL;DR

A 62-year-old man with kidney cancer underwent a complex surgery to remove his left kidney and part of the vein, with a special technique to preserve blood flow from the right kidney.

Contribution

The paper introduces a unique vascular reconstruction method using the right gonadal vein to maintain right renal venous drainage after left nephrectomy and juxtarenal cavectomy.

Findings

The patient had no renal functional decline or disease recurrence after 3 years of follow-up.

The described anastomosis technique successfully preserved right renal venous drainage.

Abstract

This article is a case report of a 62-year-old male with a left-sided renal cell carcinoma (RCC) with a level II inferior vena cava (IVC) thrombus and caval occlusion. He was managed with open left radical nephrectomy and juxtarenal cavectomy. To preserve right renal venous drainage, the right renal vein was anastomosed to the right gonadal vein. He has not had any renal functional decline or disease recurrence with 3 years of follow-up. The focus of this article is to discuss this distinctive method for vascular reconstruction as an option for right renal venous drainage following left nephrectomy and juxtarenal cavectomy.

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