title: [Extracorporeal circulation in no-cardiac surgery: experience at the Clinica Universidad de Navarra].
abstract: OBJECTIVE
  Analyse the use of the Extra-Corporeal Circulation (ECC) in no-cardiac operations at the Clinica Universidad de Navarra.
  
  
  METHODS
  Between 1985 and 2009, the ECC has been involved in 28 operations for retroperitoneal tumour with inferior vena cava thrombus, in 43 isolated hyperthermic perfusion of a limb for locally advanced cancer and in 8 cases of chest mass with invasion of the pulmonary veins or bronchial carina.
  
  
  RESULTS
  The intraoperative mortality for renal cancer has been of 7% while the 28% of patients showed a major complication. None patient died for the isolated hyperthermic perfusion and the 81% showed no toxicity. 1 patient out of 8 for chest mass died during the surgery for impossibility of weaning from the ECC.
  
  
  CONCLUSIONS
  The ECC has been utilised in our experience mostly in cases of advanced cancer. It is an aggressive technique with a certain rate of complications. Nevertheless mid- and long-term results are encouraging.
  
  
  CONCLUSIONS
  The ECC is the only technique in some advanced cancer in order to safely perform the mass removal. The precise co-ordination of the team is necessary to reduce the complication rate.
authors.affiliation: Dipartimento di Chirurgia Cardiovascolare, Clinica Universitaria di Navarra, Pamplona, Navarra, Spagna. smastrobuoni@unav.es
authors.forename: Stefano
authors.initials: S
authors.lastname: Mastrobuoni
authors.forename: S Martin
authors.initials: SM
authors.lastname: Algarra
authors.forename: A M
authors.initials: AM
authors.lastname: Dell'Aquila
authors.forename: J
authors.initials: J
authors.lastname: Herreros
mesh_terms: D000293:Adolescent; D005112:Extracorporeal Circulation; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013030:Spain