TY - JOUR
T1 - Surgical technique for the treatment of renal cell carcinoma with inferior vena cava tumor thrombus
T2 - tips, tricks and oncological results
AU - Hevia, Vital
AU - Ciancio, Gaetano
AU - Gómez, Victoria
AU - Álvarez, Sara
AU - Díez-Nicolás, Víctor
AU - Burgos, Francisco Javier
N1 - Publisher Copyright:
© 2016, Hevia et al.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Renal cell carcinoma represents 3 % of all cancers. Around 4–10 % of cases present with inferior vena cava involvement, generally with tumor thrombus. Clinical and preoperative stage will be classified depending of the thrombus extension. A high quality preoperative workup is essential to properly plan surgical approach. Complete surgical resection of the tumor is potentially the only curative treatment, although it supposes a real challenge due to operative difficulty, potential for massive bleeding or tumor pulmonary thromboembolism. Surgery includes techniques derived from transplantation surgery and, in some cases, cardiovascular intervention with cardiopulmonary bypass. Long-term oncological outcomes after complete removal of the entire tumor burden are acceptable. In this report we describe step-by-step surgical maneuvers depending on the thrombus lever, and focusing in complete abdominal approach for the complete excision of the tumor. Moreover, a recent literature review about oncological results is reported.
AB - Renal cell carcinoma represents 3 % of all cancers. Around 4–10 % of cases present with inferior vena cava involvement, generally with tumor thrombus. Clinical and preoperative stage will be classified depending of the thrombus extension. A high quality preoperative workup is essential to properly plan surgical approach. Complete surgical resection of the tumor is potentially the only curative treatment, although it supposes a real challenge due to operative difficulty, potential for massive bleeding or tumor pulmonary thromboembolism. Surgery includes techniques derived from transplantation surgery and, in some cases, cardiovascular intervention with cardiopulmonary bypass. Long-term oncological outcomes after complete removal of the entire tumor burden are acceptable. In this report we describe step-by-step surgical maneuvers depending on the thrombus lever, and focusing in complete abdominal approach for the complete excision of the tumor. Moreover, a recent literature review about oncological results is reported.
KW - Inferior vena cava
KW - Renal cell carcinoma
KW - Surgical management
KW - Tumor thrombus
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U2 - 10.1186/s40064-016-1825-1
DO - 10.1186/s40064-016-1825-1
M3 - Review article
AN - SCOPUS:84958759922
VL - 5
SP - 1
EP - 7
JO - SpringerPlus
JF - SpringerPlus
SN - 2193-1801
IS - 1
M1 - 132
ER -