Record surgery at the hospital Niguarda of Milan: a kidney tumor, extending up to the heart and over 20 centimeters long, was removed on an 83-year-old patient with surgery without scars, that is, without opening the abdomen and chest, thanks to the combined use of a robot and a tumor suction cannula, inserted by a vein in the neck. It is the first time in the world that such an intervention has been attempted, as the same structure specifies in a note.
Urologists and cardiac surgeons have studied an ad hoc minimally invasive technique, to remove kidney cancer that had completely infiltrated the vena cava from the renal vein, and then went up to the right atrium of the heart. Given the age and frailty of the patient, who had recently undergone the implantation of two cardiac stents due to coronary heart disease, the doctors decided not to resort to traditional surgery. The operation lasted 9 hours.
“Given the age and condition of the patient – explains Aldo Bocciardi, director of the Urology unit – we opted for a minimally invasive procedure without abdominal incision and without opening the sternum. To do this we resorted to the surgical robot, used to remove the kidney. , site of the tumor “. The robot’s forceps, inserted through abdominal micro-incisions, were also used to remove the tumor that had infiltrated and reached the heart.
This was possible, however, only after the cardiac surgeons, with the suction cannula, had removed part of the cardiac infiltration, and then pushed the remaining part into the abdomen where the urologists with the robot were able to hook it and remove it completely. In few other centers in the world, explains Niguarda, the robot has been used for renal tumors extended to the vena cava; in the few cases where the disease reaches the heart, it has never been done with the robot and without opening the chest.