IVC tumours are rare and excision with preservation of the kidney is challenging. we present a case where this was achieved with Robotic approach

A 45 years, young lady, presented to us with the history of incidental right paracaval/ paraduodenal mass with left complex exophytic cyst in the left kidney on ultrasound abdomen during health check up. CT scans showed a 8 x8cm mass was located anterior to IVC, displacing the right kidney and right renal vein and duodenum and was unable to differentiate the mass fromm the IVC and kidney. She underwent robotic assisted excision of the mass. Intraoperatively it was found that the mass was seen arising from the IVC at the level of renal vein ostium. Scanlon clamps were used for IVC control. Mass was completely excised along with IVC wall and part of renal vein and IVC and renal vein was repaired with 4-0 prolene in single layer.

Patient successfully underwent robotic hilar mass excision and discharged uneventfully on post operative day 2 with out any complications. HPE report was leiomyosarcoma of the IVC.

excision of IVC tumour with renal preservation is feasible esp utilising robotic approach by careful planning and team working