[Surgical treatment of kidney cancer with tumor thrombus invasion of the inferior vena cava].
The paper presents original experience in the examination and surgical treatment of 61 patients with renal carcinoma thrombing the inferior vena cava. The thrombi are classified as floating (8) and occlusive (53). Subhepatic, retrohepatic, supradiaphragmatic and intracardial thrombi are distinguished by location of the thrombus top. The staging and the scope of cavatomy in respect to the thrombus occlusion site in the vena is specified. It turned out that the higher thrombic invasion is, the more serious is surgical invasion and worse are long-term outcomes. The conclusion on feasibility of effective treatment of the above condition is made.
Pereverzev
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D000368:Aged; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating / Q000145:classification / Q000473:pathology*; D009392:Nephrectomy; D017131:Thrombectomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery
Operativnoe lechenie raka pochki s invazieĭ opukholevogo tromba v nizhniuiu poluiu venu.