title: En bloc mobilization of the inferior vena cava and large hypervascular right renal tumors with or without inferior vena cava thrombus: Posterior ligation of the renal artery.
abstract: We describe our approach of posterior ligation of the renal artery during resection of large hypervascular right renal tumors. This technique uses en bloc mobilization of the inferior vena cava and renal tumor to ligate the renal artery at its origin from the aorta. In our experience, the use of this posterior approach for renal artery ligation is safe and effective, even with large renal tumors with multiple collaterals and/or lymph nodes making the identification of the renal artery difficult.
authors.affiliation: Department of Surgery (Division of Transplantation), University of Miami Miller School of Medicine, Miami, Florida, USA.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Ciancio
authors.forename: Wolfgang H
authors.initials: WH
authors.lastname: Cerwinka
authors.forename: Mark S
authors.initials: MS
authors.lastname: Soloway
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical / Q000517:prevention & control; D003097:Collateral Circulation; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000098:blood supply* / Q000601:surgery*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009392:Nephrectomy / Q000379:methods*; D012077:Renal Artery / Q000601:surgery*; D014682:Vena Cava, Inferior