Evolution of the Application of Techniques Derived from Abdominal Transplant Surgery in Urologic Oncology

Overview

Journal Curr Urol Rep

Publisher Current Science

Specialty Urology

Date 2018 Feb 6

PMID 29399723

Citations 3

Authors

Javier Gonzalez

Jeffrey J Gaynor

Mahmoud Alameddine

Gaetano Ciancio

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: The techniques derived from abdominal transplant surgery have become a major actor in recent surgical evolution by providing a more optimal solution for urologic malignancies hosted in the upper abdomen. To describe in detail the objectives, rationale, relevant milestones, and surgical maneuvers of the so-called transplant techniques as applied to complex urologic oncology cases.

Recent Findings: The transplant-based surgical approach aims to decrease perioperative complications by improving tumor accessibility and field visibility through an enhanced exposure (via the use of a transverse incision, a specific retractor, and specific surgical maneuvers). A sequence of milestones inspired these advances, which finally brought the technique into maturation. The transplant-based approach has demonstrated its safety and usefulness even in the low-volume practice of more complicated urologic oncology, offering protection against the occurrence of perioperative adverse events and placing us at the gates of a new stage of surgical innovation.

Citing Articles

Cadaveric analysis of surgical techniques and working space for retroperitoneal tumors as model for improving resection of neuroblastoma.

Cernaianu G, Franke G, Kuhne N, Meurer M, Trobs R, Eifinger F BMC Surg. 2024; 24(1):220.

PMID: 39080686 PMC: 11289930. DOI: 10.1186/s12893-024-02508-x.

Comparison of four transdiaphragmatic approaches to remove cavoatrial tumor thrombi: a pilot study.

Zhernovoi I, Shchukin D, Jundi M, Grabs D, Maranzano J, Nayouf A Cent European J Urol. 2022; 75(2):145-152.

PMID: 35937662 PMC: 9326694. DOI: 10.5173/ceju.2022.0277.R1.

Vascular Injury During Urologic Surgery: Somebody Call My Mother.

Gonzalez J, Angulo-Morales F, Lledo-Garcia E Curr Urol Rep. 2019; 20(1):2.

PMID: 30649624 DOI: 10.1007/s11934-019-0869-5.

References

Delis S, Bakogiannis A, Ciancio G, Soloway M . Surgical management of large adrenal tumours: the University of Miami experience using liver transplantation techniques. BJU Int. 2008; 102(10):1394-9. DOI: 10.1111/j.1464-410X.2008.07792.x. View

Ciancio G, Soloway M . Resection of the abdominal inferior vena cava for complicated renal cell carcinoma with tumour thrombus. BJU Int. 2005; 96(6):815-8. DOI: 10.1111/j.1464-410X.2005.05719.x. View

Ciancio G, Soloway M . Renal cell carcinoma with tumor thrombus extending above diaphragm: avoiding cardiopulmonary bypass. Urology. 2005; 66(2):266-70. DOI: 10.1016/j.urology.2005.03.039. View

Ciancio G, Manoharan M, Katkoori D, De Los Santos R, Soloway M . Long-term survival in patients undergoing radical nephrectomy and inferior vena cava thrombectomy: single-center experience. Eur Urol. 2009; 57(4):667-72. DOI: 10.1016/j.eururo.2009.06.009. View

Ekici S, Ciancio G . Surgical management of large adrenal masses with or without thrombus extending into the inferior vena cava. J Urol. 2004; 172(6 Pt 1):2340-3. DOI: 10.1097/01.ju.0000143931.26872.43. View

Marsh C . Application of organ transplant techniques to urologic surgery. Urol Clin North Am. 1995; 22(3):679-91. View

Visser A, Geboers B, Gouma D, Goslings J, Ubbink D . Predictors of surgical complications: A systematic review. Surgery. 2015; 158(1):58-65. DOI: 10.1016/j.surg.2015.01.012. View

Gonzalez J, Gorin M, Garcia-Roig M, Ciancio G . Inferior vena cava resection and reconstruction: technical considerations in the surgical management of renal cell carcinoma with tumor thrombus. Urol Oncol. 2013; 32(1):34.e19-26. DOI: 10.1016/j.urolonc.2013.01.004. View

Moon J, Island E, Weppler D, Kato T, Tekin A, Selvaggi G . Liver transplantation at the Miami Transplant Institute: a 14-year single-center experience. Clin Transpl. 2008; :155-64. View

10.

Staudacher V . [Transplantation of an organ with vascular anastomoses]. Riforma Med. 1952; 66(39):1060. View

11.

Ciancio G, Shirodkar S, Soloway M, Livingstone A, Barron M, Salerno T . Renal carcinoma with supradiaphragmatic tumor thrombus: avoiding sternotomy and cardiopulmonary bypass. Ann Thorac Surg. 2010; 89(2):505-10. DOI: 10.1016/j.athoracsur.2009.11.025. View

12.

Starzl T, Hakala T, Shaw Jr B, Hardesty R, Rosenthal T, Griffith B . A flexible procedure for multiple cadaveric organ procurement. Surg Gynecol Obstet. 1984; 158(3):223-30. PMC: 2728063. View

13.

STARLZ T, KAUPP Jr H, BROCK D, LAZARUS R, Johnson R . Reconstructive problems in canine liver homotransplantation with special reference to the postoperative role of hepatic venous flow. Surg Gynecol Obstet. 1960; 111:733-43. PMC: 2729187. View

14.

Shirodkar S, Ciancio G, Soloway M . Vascular stapling of the inferior vena cava: further refinement of techniques for the excision of extensive renal cell carcinoma with unresectable vena-caval involvement. Urology. 2009; 74(4):846-50. DOI: 10.1016/j.urology.2009.04.075. View

15.

Fong Z, Rosato E, Lavu H, Yeo C, Cowan S . Emil Theodor Kocher, M.D., and his Nobel Prize (1841-1917). Am Surg. 2012; 78(12):1322-4. View

16.

Gorin M, Gonzalez J, Garcia-Roig M, Ciancio G . Transplantation techniques for the resection of renal cell carcinoma with tumor thrombus: a technical description and review. Urol Oncol. 2012; 31(8):1780-7. DOI: 10.1016/j.urolonc.2012.06.013. View

17.

Gonzalez J, Andres G, Martinez-Salamanca J, Ciancio G . Improving surgical outcomes in renal cell carcinoma involving the inferior vena cava. Expert Rev Anticancer Ther. 2013; 13(12):1373-87. DOI: 10.1586/14737140.2013.858603. View

18.

Ciancio G, Soloway M . Renal cell carcinoma invading the hepatic veins. Cancer. 2001; 92(7):1836-42. DOI: 10.1002/1097-0142(20011001)92:7<1836::aid-cncr1700>3.0.co;2-r. View

19.

Cattell R . A technic of exposure in secondary operations on the biliary tract. Surg Clin North Am. 1950; 30(3):867-72. DOI: 10.1016/s0039-6109(16)33052-3. View

20.

Ciancio G, Soloway M . The use of natural veno-venous bypass during surgical treatment of renal cell carcinoma with inferior vena cava thrombus. Am Surg. 2002; 68(5):488-90. View