Liver Transplantation Techniques for the Surgical Management of Renal Cell Carcinoma with Tumor Thrombus in the Inferior Vena Cava: Step-by-Step Description

Precise control of caval and hepatic vessels: Surgical technique to treat level III caval thrombus concomitant to renal cell carcinoma

“…The mean age was 59.2 ± 12.2 years (range: 38-76). The mean tumour diameter was 12.8 ± 3.4 cm (range: [6][7][8][9][10][11][12][13][14][15][16][17] and the mean size of the tumour thrombus in the proximal end IVC was 11.6 ± 1.9 cm (range: 9-15). Preoperative chest, abdomen, and pelvic computed tomography (CT) scan, upper abdominal 3-dimensional imaging, and IVC angiography were performed on all patients (Fig.…”

“…21 IVC filters are not routinely used in most thoraco-abdominal or abdomimal incisions with or without CPBP, VVBP, or DCHA. 14,17,[22][23][24] Measures, such as avoiding violent isolation of IVC, ensuring clear bloodless surgical field, removing the tumor thrombus entirely, rinsing the IVC lumen with heparin solution, are importance in preventing a pulmonary embolism. Insertion of IVC filters also cause trauma to patients and should be removed after surgery or anticoagulation therapy.…”

Resection of Pancreas and Duodenum During Radical Nephrectomy: Analysis of A Single Center Experience

“…Our techniques for en-bloc mobilization of spleen and pancreas, as well as anterior mobilization of the liver in order to facilitate resection of large renal tumors have been previously described [11][12][13]. For left sided exposure, once the descending colon is adequately mobilized, we dissect the spleen off the diaphragm and mobilize en-bloc with the pancreas toward the midline, thereby exposing the entire upper retroperitoneal space from the diaphragm to the inferior border of the kidney.…”

Current status of the organ replacement approach for malignancies and an overture for organ bioengineering and regenerative medicine

“…129 Since then, liver tumors involving the confluence of hepatic veins and/or the retrohepatic vena cava were resected by this approach in more than 50 patients and every report underscores the paramount importance of deliberate patient selection. 130,134,[138][139][140][141][142] Ciancio et al depicted the use of the mobilization technique in LT for resection of renal cell carcinoma with tumor thrombus in the inferior vena cava 143 and en bloc mobilization of the pancreas and spleen, which was derived from multivisceral transplantation as well as organ procurement, for resection of large tumors in the left upper abdomen. 144 Both procedures were successfully performed with minimum risk while maximizing the chance of complete resection.…”