Transplantation techniques for the resection of renal cell carcinoma with tumor thrombus: A technical description and review

Abstract Renal cell carcinoma with tumor thrombus of the inferior vena cava presents a special surgical challenge. The use of surgical techniques derived from the field of transplantation surgery have previously been shown to enable optimal control of inferior vena cava, allowing for the extirpation...

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Bibliographic Details
Published in:Urologic oncology 2013-11, Vol.31 (8), p.1780-1787
Main Authors: Gorin, Michael A., M.D, González, Javier, M.D, Garcia-Roig, Michael, M.D, Ciancio, Gaetano, M.D
Format: Article
Language:English
Subjects:
Carcinoma, Renal Cell - pathology
Carcinoma, Renal Cell - surgery
Humans
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Neoplastic Cells, Circulating - pathology
Thrombosis - pathology
Thrombosis - surgery
Tissue Transplantation - methods
Treatment Outcome
Urology
Vena Cava, Inferior - pathology
Vena Cava, Inferior - surgery
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Summary:Abstract Renal cell carcinoma with tumor thrombus of the inferior vena cava presents a special surgical challenge. The use of surgical techniques derived from the field of transplantation surgery have previously been shown to enable optimal control of inferior vena cava, allowing for the extirpation of most tumors via a transabdominal approach without the need for venovenous or cardiopulmonary bypass. In this report, we provide a stepwise description of the transplantation techniques employed at the University of Miami/Jackson Memorial Hospital for the resection of renal cell carcinoma with intracaval tumor. In addition, we review the results of centers that have utilized these surgical maneuvers.
ISSN:1078-1439
1873-2496
DOI:10.1016/j.urolonc.2012.06.013