453 - Robot-Assisted Radical Nephrectomy with Inferior Vena Cava Thrombectomy

SEPTEMBER 2021 | The Surgical Technologist | 407 #453   SEPTEMBER 2021 1.5 CE CREDIT S  $9 4. _____________ is the most common malignant tumor occurring from the renal parenchyma. a. Renal cell carcinoma b. Hepatocellular carcinoma c. Angiosarcoma d. Urothelial carcinoma 5. A ____ thrombus extends less than 2 cm from the junction of the renal vein and the inferior vena cava. a. Level I b. Level II c. Level III d. Level IV 6. Which level thrombus extends superior to the hepatic veins, but inferior to the dia- phragm? a. Level I b. Level II c. Level III d. Level IV 7. The IVC will be dissected circumferen- tially using an: a. Subcostal approach b. Interaortocaval approach c. Extraperitoneal approach d. None of the above 1. After confirming the size and location of the tumor thrombus, the surgeon will decide whether to proceed with: a. A cavotomy b. A thrombectomy c. Renal d. All of the above 2. Between ____ of RCC patients present with venous extension of the tumor from the renal vein to the IVC. a. 1-3% b. 3-7% c. 4-10% d. 6-12% 3. One study comparing the robotic approach against the traditional open approach found that robotic procedures have been reported to have: a. Shorter hospital stays b. More transfusions c. Lower complication rates d. Both a and c 8. The most common subgroup of RCC, clear cell renal cell carcinoma (ccRCC), often presents with: a. Increased bleeding b. Metastatic disease c. Hypervascularity d. Obesity 9. If a cavotomy is needed, it will be made at the anterior junction of the: a. Right renal vein b. Left renal vein c. IVC d. IVC and right renal vein 10. Freeing the hepatic flexure of the ___ allows for better access to the lower pole of the kidney. a. Liver b. Colon c. Intestines d. Bladder Robot-AssistedRadicalNephrectomywithInferiorVenaCavaThrombectomy AST Member No. ■ My address has changed. The address below is the new address. Name Address City State Zip Telephone ■ Check enclosed  ■ Check Number a b c d a b c d 1 ■ ■ ■ ■ 11 ■ ■ ■ ■ 2 ■ ■ ■ ■ 11 ■ ■ ■ ■ 3 ■ ■ ■ ■ 13 ■ ■ ■ ■ 4 ■ ■ ■ ■ 14 ■ ■ ■ ■ 5 ■ ■ ■ ■ 15 ■ ■ ■ ■ 6 ■ ■ ■ ■ 16 ■ ■ ■ ■ 7 ■ ■ ■ ■ 17 ■ ■ ■ ■ 8 ■ ■ ■ ■ 18 ■ ■ ■ ■ 9 ■ ■ ■ ■ 19 ■ ■ ■ ■ 10 ■ ■ ■ ■ 20 ■ ■ ■ ■ Make It Easy - Take CE Exams Online Y ou must have a credit card to pur- chase test online. We accept Visa, MasterCard and American Express. Your credit card will only be charged once you pass the test and then your credits will be automati- cally recorded to your account. Log on to your account on the AST homepage to take advantage of this benefit. If you want to mail in your CEs, but still want to pay by credit card, give us at call at 800-637-7433. ROBOT-ASSISTEDRADICALNEPHRECTOMYWITHINFERIORVENACAVATHROMBECTOMY # 453 SEPTEMBER2021 1.5CECREDITS $9

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