A safe surgical technique for the infradiaphragmatic removal of caval tumor thrombus complicating renal cell carcinoma.
The management of patients with renal cell cancer extending to the vena cava is controversial and challenging. Careful planning of the operative procedure, adequate exposure, complete mobilization of the retrohepatic vena cava and control of the hepatic venous effluence will allow patients with retrohepatic vena caval occlusions to be managed safely and successfully. The major advantage of this technique is the minimizing of both peroperative bleeding and circulatory and biochemical disturbances of the liver due to the interruption of the blood flow.
Moskovitz
B
B
Department of Urology, Rambam Medical Center, Faculty of Medicine, Haifa, Israel.
Kam
I
I
Bolkier
M
M
Richter Levin
D
D
D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008722:Methods; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D009392:Nephrectomy; D011859:Radiography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery*