[Surgical treatment of the renal carcinoma with inferior vena cava thrombus and filter].
OBJECTIVE
Vascular invasion in the form of tumour thrombus appears in a significant percentage of renal neoplasias. The importance of cephalic extension of the thrombus in prognosis is currently under discussion, but surgical treatment is mandatory in the absence of distant metastasis.


METHODS
We report the case of a 56-year-old male patient with a filter in the inferior vena cava, who underwent surgery in our department through a thoracoabdominal approach with extracorporeal circulation, deep hypothermia (below 18 degrees C) and cerebral retrograde perfusion.


RESULTS
Although in the past it was believed tumour thrombus worsened prognosis in these patients, currently we know that surgical treatment, in selected cases, gives good results in terms of survival and disease-free time.


CONCLUSIONS
We think the implementation of venous filters may increase the complexity of surgery.
Escudero
Joaquín Ulises Juan
JU
Servicio de Urología, Consorcio Hospital General Universitario de Valencia, Valencia, España. chimojuan@hotmail.com
de Campos
Macarena Ramos
MR
López
Sergio Cánovas
SC
Deltoro
Milagros Fabuel
MF
Vidal
Emilio Marqués
EM
D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior