title: Safe technique for removal of extensive renal cell tumors.
abstract: We describe our technique for excision of a renal tumor that extended to the right atrium and was adherent to the inferior vena cava within the liver. The surgical procedure was performed using cardiopulmonary bypass with deep hypothermic circulatory arrest and retrograde cerebral perfusion to extend the safe period of cerebral ischemia.
authors.affiliation: Department of Cardiothoracic Surgery, The Yorkshire Heart Centre, Leeds, United Kingdom. dumbor@ngaage.freeserve.co.uk
authors.forename: D L
authors.initials: DL
authors.lastname: Ngaage
authors.forename: D A
authors.initials: DA
authors.lastname: Sharpe
authors.forename: S
authors.initials: S
authors.lastname: Prescott
authors.forename: P H
authors.initials: PH
authors.lastname: Kay
mesh_terms: D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007036:Hypothermia, Induced; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery