To evaluate the data on current surgical trends in the treatment of renal cell carcinoma (RCC) with inferior vena cava (IVC) thrombosis. Recent studies have demonstrated the role of minimally invasive surgery in IVC thrombectomy. This review paper assesses the importance of open and minimally invasive surgery in this circumstance by evaluating the current RCC with venous extent research. Robotic urological surgery has proven to be beneficial in radical prostatectomy, partial nephrectomy, and pyeloplasty procedures. A recently published series demonstrated the possibility of robotic IVC thrombectomy in level IV patients. 

With an increasing number of robot-assisted and laparoscopic procedures performed globally, there is a current trend toward treating this complicated and difficult pathology with a minimally invasive technique that does not compromise oncological results.