Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Cited by Google
- Similars in SciELO
- Similars in Google
Share
Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
BARRERA, Luis Manuel et al. Liver transplant techniques used in the management of clear renal cell carcinoma with thrombi in the inferior vena cava that ascend to the diaphragm: case series. rev. colomb. cir. [online]. 2019, vol.34, n.3, pp.260-268. ISSN 2011-7582. https://doi.org/10.30944/20117582.442.
Introduction:
Renal cell carcinoma corresponds to 3% of all solid tumors and about 10% have IVC thrombus.
Nephrectomy with thrombectomy is the best choice for a curative treatment. Perioperative mortality may vary between 2 and 11%. The aim of this study is to describe a series of patients with renal tumors and IVC thrombus Neves III in treated succesfully with liver transplant techniques.
Materials and methods:
We conducted a descriptive case series of five patients who underwent nephrectomy and thrombectomy between January 2012 and September 2018.
Results:
Of 26 nephectomized patients who had any IVC thrombus, five cases had renal tumors and thrombus Neves III. The mean age was 63.2 years and 80% were women. Eighty percent were Neves IIIa. Mean operative time and IVC clamping were 274 and 13.6 minutes respectively. ICU and hospital stay were 2.8 and 9.6 days. Twenty percent of patients had no complications, the rest had minor complications (Clavien-Dindo I and II).
Conclusion:
IVC thrombus extraction with liver transplantion technique for renal tumors without right atrium involvement is a safe alternative for patients with low morbility and mortality. It is also a feasible alternative to ensure disease control in a long term.
Keywords : kidney neoplasms; vena cava, inferior; thrombosis; surgical procedures; liver transplantation.