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A modified sequential vascular control strategy in robot-assisted level III-IV inferior vena cava thrombectomy: initial series mimicking the open 'milking' technique principle.

Donglai ShenSongliang DuQingbo HuangYu GaoYang FanLiangyou GuKan LiuCheng PengYundong XuanPin LiHongzhao LiXin MaXin MaBaojun Wang
Published in: BJU international (2020)
With the early release of the FPH and stopping CPB, the modified sequential vascular control strategy in level III-IV RA-IVCTE reduced the perioperative risk for selected patients and improved the feasibility and safety of the surgery. We would recommend this approach to other centres that plan to develop robotic surgery for renal cell carcinoma with level III-IV IVCTT in the future.
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