Table 2 Surgical outcomes and prognosis of patients undergoing robotic thrombectomy for high inferior vena cava cancer thrombus a
Characteristic | No CPB | CPB | Total |
|---|---|---|---|
Surgical outcomes | |||
 Height of the cancer thrombus, n (%) | |||
  Limited in IVC | 11 (100.0) | 0 (0.0) | 11 (61.1) |
  Into the right atrium | 0 (0.0) | 7 (100.0) | 7 (38.9) |
 Transfer to laparotomy, n (%) | |||
  Yes | 2 (18.2) | 0 (0.0) | 2 (11.1) |
  No | 9 (81.8) | 7 (100.0) | 16 (88.9) |
 Times of cancer thrombus drops, n (%) | |||
  1 | 2 (18.2) | 0 (0.0) | 2 (11.1) |
  2 | 9 (81.8) | 6 (85.7) | 15 (83.3) |
  3 | 0 (0.0) | 1 (14.3) | 1 (5.6) |
Liver/IVC dissociation and vascular suspension time (min), median (IQR) | 20 (14-26) | 29 (20-33) | 22 (14-32) |
Blood loss during Liver /IVC dissociation and blood vessel suspension (ml), median (IQR) | 400 (200-750) | 600 (250-1200) | 530 (230-1000) |
Operative time (min), median (IQR) | 355.0 (305.0-465.0) | 540.0 (525.0-593.3) | 465.0 (338.0-540.0) |
Intraoperative blood loss (ml), median (IQR) | 1000.0 (950.0-2500.0) | 2750.0 (1375.0-5250.0) | 1500.0 (1000.0-3500.0) |
Intraoperative transfusion (ml), median (IQR) | 1200.0 (600.0-1230.0) | 3320.0 (1300.0-4215.0) | 1200.0 (990.0-3240.0) |
 Postoperative recovery and prognosis | |||
  Postoperative ICU transition days (d), mean (IQR) | 2 (1-4) | 3 (1-6) | 3 (2-5) |
  Postoperative drainage time (d), mean (IQR) | 4 (3-7) | 5 (4-7) | 5 (3-7) |
  Postoperative hospital stay (d), mean (IQR) | 8.0 (6.0-11.5) | 11.5 (9.3-14.4) | 10.0 (7.0-13.0) |
 Perioperative complications d, n (%) | |||
  ≤IIIa | 11 (100.0) | 7 (100.0) | 18 (100.0) |
  ≥IIIb | 0 (0.0) | 0 (0.0) | 0 (0.0) |
90-day mortality, (%) | 0 | 0 | 0 |
 Follow-up (12 Month), n (%) | |||
  Alive | 5 (45.5) | 3 (42.9) | 8 (44.4) |
  Dead | 1 (9.0) | 1 (14.3) | 2 (11.2) |
  Loss to follow-up | 5 (45.5) | 3 (42.9) | 8 (44.4) |
 Pathologic types, n (%) | |||
  ccRCC | 9 (81.8) | 6 (85.7) | 15 (83.3) |
  UC | 1 (9.1) | 0 (0.0) | 1 (5.6) |
  PRCC | 1 (9.1) | 1 (14.3) | 2 (11.1) |
 Fuhrman stage, n (%) | |||
  I | 0 (0.0) | 0 (0.0) | 0 (0.0) |
  II | 5 (45.4) | 1 (14.3) | 6 (33.4) |
  III | 4 (36.4) | 4 (57.1) | 8 (44.4) |
  IV | 2 (18.2) | 2 (28.6) | 4 (22.2) |