A Case of Cerebral Air Embolization During Robot‐Assisted Partial Nephrectomy via a Retroperitoneal Approach for the Patient With Renal Cell Carcinoma
This case highlights the risk of serious brain stroke during RAPN. The pathways of air entry into the cerebral circulation occasionally remain unclear and are difficult to fully exclude preoperatively. Renal vein clamping and adequate insufflation pressure are recommended when the tumor is entirely endophytic or close to the renal vein, especially when performing a right retroperitoneal approach.
Authors
- Masatoshi Eto (ORCID: https://orcid.org/0000-0002-3312-9930)
- Satoshi Kobayashi (ORCID: https://orcid.org/0000-0002-7760-0771)
- Masaki Shiota (ORCID: https://orcid.org/0000-0002-3306-4858)
- Tokiyoshi Tanegashima (ORCID: https://orcid.org/0000-0002-1631-4720)
- Shigehiro Tsukahara
- Junichi Inokuchi (ORCID: https://orcid.org/0000-0002-6791-905X)
- Shunsuke Goto (ORCID: https://orcid.org/0000-0002-7102-2843)
- Takashi Matsumoto (ORCID: https://orcid.org/0000-0003-1570-6340)
- Jun Mutaguchi (ORCID: https://orcid.org/0000-0001-8798-2681)
- Masashi Kaitsumaru
- Keiji Tsukino (ORCID: https://orcid.org/0009-0002-2955-6849)
Institutions
- Kyushu University (JP)
- University of the Ryukyus (JP)
- University of the Ryukyus University Hospital (JP)
Publication Details
- Journal
- IJU Case Reports
- Published
- 2025-11-02
- DOI
- https://doi.org/10.1002/iju5.70111
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00