[The vena cava in surgery of renal cancer in the adult].
In a series of 171 radical nephrectomies performed by the authors, 10 patients presented vena cava extension (5.8%). The extension was infrahepatic (stage C) in 6 cases, retrohepatic (stage B) in 1 case and involved the right auricle (stage A) in 2 cases, while the upper limit of the thrombus could not be defined in the remaining case. All patients were operated upon. There was one post-operative death (stage B), while the other patients had an uncomplicated post-operative course, despite the need for open-heart surgery in two cases. Seven patients died from metastatic after an interval of 2 and 4 years. The prognosis is therefore reserved, but seems to be better than in the case of lymph node metastases, justifying an aggressive surgical approach.
D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000601:surgery; D009392:Nephrectomy; D013927:Thrombosis / Q000209:etiology* / Q000601:surgery; D014682:Vena Cava, Inferior
La veine cave dans la chirurgie du cancer du rein de l'adulte.