Surgical Resection of Neoplastic Thrombosis in the Inferior Vena Cava by Neoplasms of Renal-Adrenal Tract

Publisher Website
Google Scholar
Abstract
Renal cell carcinoma extends to the inferior vena cava in six percent of the patients.5 Ten percent to twenty-two percent of these renal cell carcinoma are found to invade the right atrium.4 Although earlier reports attached a poor prognosis to renal carcinoma,10 it has been suggested recently that extended survival can be achieved following complete surgical extirpation. Therefore radical nephrectomy and thrombus removal represent the only possibility of survival in these patients. The classically elevated mortality of this procedure has been drastically transformed in our experience by the use of cardiopulmo nary by-pass and deep hypothermic circulatory arrest technique. We have had no operative deaths with carcinogenic tumor removal.