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• W2107715503 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2000COMPLETE RADICAL NEPHRECTOMY AND VENA CAVAL THROMBECTOMY DURING CIRCULATORY ARREST JOHN A. BELIS, MARK E. LEVINSON, and WALTER E. PAE JOHN A. BELISJOHN A. BELIS More articles by this author , MARK E. LEVINSONMARK E. LEVINSON More articles by this author , and WALTER E. PAEWALTER E. PAE More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67894-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: A modification of radical nephrectomy for renal carcinoma and vena caval tumor thrombectomy for supradiaphragmatic tumor extension under hypothermic circulatory arrest is presented. Materials and Methods: Nephrectomy was performed during the circulatory arrest time in 16 consecutive patients during the last 4 years. Results: Average hypothermic circulatory arrest time increased by 6 minutes. By elimination of manipulation of tumor and thrombus before circulatory arrest potential thrombus fragmentation and embolization were minimized. There were no significant differences in blood loss or complications compared to a prior series of 10 patients undergoing the procedure using conventional techniques. Conclusions: Performance of complete radical nephrectomy along with venal caval embolectomy during circulatory arrest increases the safety of the procedure without significant morbidity. References 1 : Long-term results of resection of renal cell cancer with extension into inferior vena cava. J Urol1987; 137: 21. Link, Google Scholar 2 : Vena caval involvement by renal cell carcinoma: surgical resection provides meaningful long-term survival. Ann Surg1989; 210: 387. Google Scholar 3 : Resection of cavoatrial renal cell carcinoma employing total circulatory arrest. Arch Surg1990; 125: 727. Google Scholar 4 : Five-year survival following excision of renal cell carcinoma extending into inferior vena cava. Urology1990; 35: 228. Crossref, Medline, Google Scholar 5 : Experience with cardiopulmonary bypass and deep hypothermic circulatory arrest in the management of retroperitoneal tumors with large vena caval thrombi. Ann Surg1990; 212: 472. Crossref, Medline, Google Scholar 6 : Surgical prognosis and management of renal cell carcinoma invading the inferior vena cava. J Urol1991; 145: 20. Abstract, Google Scholar 7 : Radical nephrectomy in patients with renal cell carcinoma with venous, vena caval, and atrial extension. Am J Surg1994; 168: 205. Crossref, Medline, Google Scholar 8 : Radical surgery for renal-cell carcinoma: caval neoplastic excision, adrenalectomy, lymphadenectomy, adjacent organ resection. World J Urol1995; 13: 159. Google Scholar 9 : Involvement of the inferior vena cava by renal tumour: surgical excision using hypothermic circulatory arrest. Br J Urol1995; 75: 441. Google Scholar 10 : Long-term followup after surgical treatment for renal cell carcinoma extending into the right atrium. J Urol1996; 155: 448. Link, Google Scholar 11 : Real-time transesophageal echocardiography for intraoperative surveillance of patients with renal cell carcinoma and vena caval extension undergoing radical nephrectomy. J Urol1999; 161: 36. Link, Google Scholar 12 : Surgical management of renal cell carcinoma with intracaval neoplastic extension above the hepatic veins. J Urol1988; 139: 1166. Link, Google Scholar 13 : Technique for removal of renal cell carcinoma with super-hepatic vena caval tumor thrombus. Urol Clin North Am1986; 13: 551. Google Scholar 14 : Application of retrograde cerebral perfusion and moderate systemic hypothermic circulatory arrest for cavoatrial tumor resection. Tech Urol1999; 5: 87. Google Scholar 15 : Cardiopulmonary bypass in patients with malignant renal neoplasms. Br J Anaesth1986; 58: 461. Google Scholar 16 : Massive intraoperative pulmonary tumor embolus from renal cell carcinoma. Anesthesiology1981; 54: 253. Google Scholar 17 : Pulmonary embolism during surgery for a Wilm’s tumour (nephroblastoma). Case report. Br J Anaesth1981; 53: 903. Google Scholar 18 : A case report of a massive pulmonary tumor embolism occurring during surgery for renal cell carcinoma. Kyobu Geka1992; 45: 529. Google Scholar 19 : Cardiovascular evaluation before circulatory arrest for removal of vena caval extension of renal carcinoma. J Urol1989; 141: 1302. Abstract, Google Scholar From the Sections of Urology and Cardiothoracic Surgery, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey, Pennsylvania© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byPAREKH D, COOKSON M, CHAPMAN W, HARRELL F, WELLS N, CHANG S and SMITH J (2018) RENAL CELL CARCINOMA WITH RENAL VEIN AND INFERIOR VENA CAVAL INVOLVEMENT: CLINICOPATHOLOGICAL FEATURES, SURGICAL TECHNIQUES AND OUTCOMESJournal of Urology, VOL. 173, NO. 6, (1897-1902), Online publication date: 1-Jun-2005.VAIDYA A, CIANCIO G and SOLOWAY M (2018) Surgical Techniques For Treating a Renal Neoplasm Invading The Inferior Vena CavaJournal of Urology, VOL. 169, NO. 2, (435-444), Online publication date: 1-Feb-2003. Volume 163Issue 2February 2000Page: 434-436 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsnephrectomycarcinomavena cavainferiorrenal cellkidneythrombectomyMetricsAuthor Information JOHN A. BELIS More articles by this author MARK E. LEVINSON More articles by this author WALTER E. PAE More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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