Single-Position Laparoscopic Radical Nephrectomy with Level IIIa Inferior Vena Cava Thrombectomy

The first porta hepatis (FPH) is a crucial anatomical landmark during inferior vena cava thrombectomy (IVC-TE). For a thrombus between the FPH and the second porta hepatis (SPH), liver mobilization is usually required to expose the retrohepatic IVC.1 Recently, Wang et al. reported a robot-assisted single-docking approach for the management of level IIIa IVC tumor thrombus.2 However, there are no reports on single-position laparoscopic thrombectomy (TE) for level III thrombus. Herein, we present a laparoscopic level IIIa IVC TE without liver mobilization or patient repositioning.