title: Surgical treatment of renal cell carcinoma with a tumor thrombus extending into the right atrium.
abstract: We experienced surgical treatment on two patients having renal cell carcinoma with a tumor thrombus extending into the right atrium. In these patients, we performed nephrectomy, dissection of lymph nodes and removal of a tumor thrombus using cardiopulmonary bypass. One died of multiple organ failure 42 days postoperatively; the other was discharged from the hospital and is currently doing well 12 months after the operation. Cardiopulmonary bypass combined with hypothermia and low blood flow significantly facilitated removal of the tumor thrombus extending into the right atrium without the risk of pulmonary embolism or brisk hemorrhage.
authors.affiliation: Department of Surgery III, Nara Medical College, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Taniguchi
authors.forename: S
authors.initials: S
authors.lastname: Kitamura
authors.forename: K
authors.initials: K
authors.lastname: Kawachi
authors.forename: T
authors.initials: T
authors.lastname: Nishii
authors.forename: M
authors.initials: M
authors.lastname: Fukutomi
authors.forename: Y
authors.initials: Y
authors.lastname: Hamada
authors.forename: E
authors.initials: E
authors.lastname: Okajima
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006331:Heart Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating