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

SEPTEMBER 2021 | The Surgical Technologist | 405 ment, the median survival for patients with RCCIVCT has been shown to be as little as five months. 16 Following surgical resection, in the absence of lymph node positive disease, five-year cancer specific survival has been shown to routinely exceed 60-70%. 3,6,8,12 A B O U T T H E A U T H O R S Julian Kingsley has been a Certi- fied Surgical Technologist (CST) since 2019, when he graduated as class valedictorian from the Maine Medical Center School of Surgical Technology. Since graduating, he has served on the Maine State Assembly Board of Directors as a director and is currently serving as secretary. Julian is a full-time surgical technologist at Maine Medical Center in Portland, special- izing primarily in genitourinary and gynecologic surgery, with a particular focus in robotic surgery. Before becom- ing a surgical technologist, Julian received a baccalaureate degree from the University of New England in behavioral psychology, and spent several years working in the fields of law enforcement and social work. Julian also served in the United States Marine Corps Reserve for six years as a rifle- man and squad leader in an infantry company. Kelley McCarty is a Certified Surgical Technologist (CST) and Certified Surgical First Assistant (CSFA). In 2000, she graduated top of her class with an associate degree in surgical technology. She became a seasoned surgical technologist in a wide range of surgical specialties. In 2006, she was elected to the Board of Directors for the Maine State Assembly of the Association of Surgical Tech- nologists. During her eight years she held many positions, from director to president. As president, she took her pas- sion for surgical technology and developed a CST Career Ladder Program for a local hospital. She executed Surgical Technology Recognition Week, a lottery program for educa- tional conferences and developed yearly local CEU confer- ences for education and networking. To further her career, she became a CSFA. In her 21-year career, she says her great- est accomplishment was creating a certified surgical assis- tant program and position, allowing surgical technologists to further their education by becoming CSFAs. Jesse D. Sammon, DO, is an assistant professor of urology, specializing in robotic surgery for cancers and benign disease of the kidney, ureter, bladder, and prostate. Dr. Sammon graduated UNECOM in 2009, and completed residency and fellowship in urology and robotic urologic oncology at Henry Ford Hospital in Detroit, Michigan, in 2016. Dr. Sammon has published extensively on minimally invasive urologic oncology, comparative effectiveness, and prostate cancer epidemiology. He has authored/co- authored over 100 peer-reviewed articles and book chapters and has presented at numerous national and international conferences. References 1. Abaza R, Shabsigh A, Castle E, Allaf M, Hu JC, Rogers C, Menon M, Aron M, Sundaram CP, Eun D. Multi-Institutional Experience with Robotic Nephrectomy with Inferior Vena Cava Tumor Thrombectomy. J Urol. 2016 Apr;195(4 Pt 1):865-71.doi: 10.1016/j.juro.2015.09.094.Epub 2015 Nov 19. PMID: 26602891. 2.Ahluwalia,Puneet,et al.“Robotic Radical Nephrectomy and Level II Inferior Vena Cava Thrombectomy: Exploring the Newer Frontiers.” International Brazilian Journal of Urology, 27 June 2019, www.intbrazjurol.com.br/vid- eo-section/20190614_ahluwalia_et_al/. 3. Ciancio G, Manoharan M, Katkoori D, De Los Santos R, Soloway MS. Long-term survival in patients undergoing radical nephrectomy and inferior vena cava thrombectomy: single-center experience. Eur Urol. 2010;57(4):667–672. doi: 10.1016/j.eururo.2009.06.009. 4. Hatakeyama, S.,Yoneyama, T., Hamano, I.,Murasawa, H., Narita, T., Oikawa, M., . . . Ohyama, C. (2013). Prognostic benefit of surgical management in renal cell carcinoma patients with thrombus extending to the renal vein and inferior vena cava: 17-year experience at a single center. BMC Urology, 13(1). doi:10.1186/1471-2490-13-47 5. HenryFordTV. (2011,April 06). Inferior Vena Cava (IVC) THROMBECTO- MY - daVinci robotic surgery [Video].YouTube .https://www.youtube.com / watch?v=5JM8KhWhrus 6. Kaag MG, Toyen C, Russo P, et al. Radical nephrectomy with vena caval thrombectomy: a contemporary experience. BJU Int. 2011;107:1386. doi: 10.1111/j.1464-410X.2010.09661.x. 7. Kamimura, Toshio, et al.“Surgical Intervention for Renal Cell Carcinoma with Inferior Vena Cava Extension Combined with Laparoscopic Pro- cedure.” Research and Reports in Urology, Volume 9, 2017, pp. 107–112., doi:10.2147/rru.s134817. 8. Kirkali Z,Van Poppel H.A critical analysis of surgery for kidney cancer with vena cava invasion. Eur Urol. 2007;52(3):658–662. doi: 10.1016/j.euru- ro.2007.05.009. 9. Kishore, Thekke Adiyat, et al. “Robot-Assisted Laparoscopic Radical Nephrectomy and InferiorVena CavaThrombectomy:AMulticentre Indi- an Experience.” Arab Journal of Urology, vol. 18, no. 2, 2020, pp. 124–128., doi:10.1080/2090598x.2020.1738104. 10. Knight, Richard B, and Cristian P Ilie. “Robot-Assisted Laparoscopic Nephroureterectomy for Urothelial Carcinoma with Inferior Vena Cava Incision and Repair.” Journal of Surgical Case Reports, vol. 2019, no. 4, 2019, doi:10.1093/jscr/rjz134.