Surgical technique for the treatment of renal cell carcinoma with inferior vena cava tumor thrombus: tips, tricks and oncological results

Vital Hevia, Gaetano Ciancio, Victoria Gómez, Sara Álvarez, Víctor Díez-Nicolás, Francisco Javier Burgos

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number132
Pages (from-to)1-7
Number of pages7
JournalSpringerPlus
Volume5
Issue number1
DOIs
StatePublished - Dec 1 2016

Keywords

  • Inferior vena cava
  • Renal cell carcinoma
  • Surgical management
  • Tumor thrombus

ASJC Scopus subject areas

  • General

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