SURGICAL TREATMENT OF RENAL CELL CARCINOMA
WITH INFERIOR VENA CAVA TUMOR THROMBI
Article published in Urologia Polska 1997/50/2.
authors
-
Wojciech Stachowiak, Jean Pierre Fleury, Lionel Camillieri, Marek Jemielity, Paweł Kwinecki, Charles De Riberolles
- Klinika Kardiochirurgii IK AM im. Karola Marcinkowskiego w Poznaniu
Kierownik: prof. dr hab. med. Aleksy Poniżyński
Klinika Chirurgii Sercowo-Naczyniowej Uniwersytetu w Clermont-Ferrand
Kierownik: prof. Charles de Riberolles
keywords
-
kidney renal cell carcinoma vena cava thrombus extracorporeal circulation
summary
- Objective. The paper reports the clinical results from 6 cases of renal cells carcinomas
- with vena caval tumor thrombus.
- Material and method. All the patients had tumor thrombus extension into the right
- atrium. In all cases the patients underwent radical nephrectomy and vena caval
- thrombectomy. Cardiopulmonary by-pass in normothermia was re±uired for transatrial
- removal of all tumors.
- Results. There were no operative deaths. Five of these 6 patients died from cerebral
- or lung metastases from 4 to 7 months post-operatively (83,3%).
- Conclusions. The presence of metastases in regional lymph nodes, perinephric fat
- involvement and distant metastases seems to influence the survival rate. The techni±ues
- now available for surgical resection of all levels of tumor thrombus of the inferior vena
- cava make resection feasible in most patients.
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