The most difficult operation to remove a kidney tumor took place at the P.A. Herzen Moscow State Medical Institute

On May 13, a team of surgeons from the oncourological department and extra–class anesthesiologists performed a complex operation to remove a kidney tumor with resection of the inferior vena cava involved in the tumor process in the operating room of the P.A. Herzen Moscow Medical Research Institute, a branch of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of the Russian Federation. The operation, which lasted 5 hours, was successful and gave our patient hope for recovery.

Alexander came from the Volgograd region and applied to the FSBI “NMIC of Radiology” of the Ministry of Health of Russia with complaints of periodic pulling pains in the right lumbar region. In 2018, the patient had already undergone surgery for lung cancer and was under the supervision of specialists at his place of residence. At the next control examination in March 2020, he revealed a volumetric formation of the right kidney measuring 7 x 5 cm, with a group of secondarily altered lymph nodes from the level of the diaphragm to the fusion of the common iliac veins involving the inferior vena cava, the vessels of the right kidney and squeezing the abdominal aorta. Such a prevalence of the tumor process threatened the life of our patient.

Alexander was immediately sent for consultation and treatment at the P.A. Herzen Moscow State Medical Institute. A consultation of doctors chaired by Academician of the Russian Academy of Sciences A.D. Kaprin determined the tactics of further treatment of the patient and, despite the high risks, decided to perform surgical intervention.

During the most difficult operation, which lasted 5 hours, Alexander had his right kidney removed, part of the inferior vena cava (below the level of the left renal vein before the fusion of the common iliac veins), as well as secondarily altered lymph nodes. The surgical team applied an innovative system of continuous blood transfusion, which made it possible to minimize possible complications. Today, the patient is undergoing postoperative rehabilitation in the intensive care unit, his condition corresponds to the timing and volume of the operation.

We wish our patient a speedy recovery and good health!

Press Service of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of Russia