Nierenkarzinom mit Kavatumorthrombus - radikale Nephrektomie mit extrakorporalem Kreislauf

Henning, Klaus; Haiderer, O.; Weiß, H.; Gulle, Heinz

doi:10.1055/s-2008-1062660

Cited by 2 publications

(3 citation statements)

References 5 publications

(5 reference statements)

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“…It is well documented in the literature that a multidisciplinary approach involving the combined use of deep systemic hypothermia, cardiac arrest, temporary exsanguination, and cardiopulmonary bypass has dramatically improved the feasibility and results of surgical treatment of neoplastic caval thrombi above the hapatic veins [1,[4][5][6][7][9][10][11][12][13][14][15][16]. In our experience, during the past 14 months this urological-cardiosurgical approach has enabled a much more aggressive surgical treatment for patients with advanced local disease without affecting morbidity or mortality.…”

Section: Surgical Stratificationmentioning

confidence: 99%

Renal-cell carcinoma with intracaval neoplastic extension: stratification and surgical technique

Kuczyk

et al. 1995

World J Urol

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Surgical removal continues to be the mainstay in the treatment of renal-cell carcinoma with neoplastic venous extension. The steady improvement of surgical and anesthesiological techniques and the introduction of complete circulatory arrest has dramatically improved the morbidity even of patients with extensive thrombi. If ultrasound or computerized tomography (CT) scanning suggests the presence of a venous extension in a patient with renal-cell carcinoma, cavography, magnetic resonance imaging (MRI), transesophageal color-coded ultrasound, and echocardiography may be needed to resolve the questions of cranial extension and vascular wall infiltration. Surgical stratification and, thus, classification of the venous extension depend on the potential need for complete circulatory arrest. Surgical removal is done en bloc for smaller venous extensions and in a two-step procedure (radical nephrectomy followed by thrombectomy) for more extensive thrombi. In patients with infiltration of the suprahepatic inferior vena cava, the hepatic veins or atrium, pending thrombotic embolism, or large masses of suprahepatic thrombotic material, the use of cardiopulmonary bypass and complete circulatory arrest is recommended.

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Section: Surgical Stratificationmentioning

confidence: 99%

Renal-cell carcinoma with intracaval neoplastic extension: stratification and surgical technique

Kuczyk

et al. 1995

World J Urol

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“…eine Inzidenz von 2,3% an, beim Nierenzellkarzinom wird von Skinner u. Mitarb. die Möglichkeit einer Cavabeteiligung in 5% der Fälle beschrieben (6,23 (2,11,13,20).…”

Section: Key-wordsunclassified

“…in die Vorgehensweise beim Nierenzellkarzinom mit Cavatumorthrombus und intrahepatischer bzw. atrialer Ausdehnung bedeutet zwar einen größeren Aufwand, doch wird dieser durch zwei entscheidende Vorteile aufgewogen(13,18). Einerseits wird die Radikalität durch die optimale Übersicht und die dadurch garantierte komplette Resektion verbessert, andererseits mit einer höheren, da kontrollierten Sicher-…”

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Cavatumorthrombus beim Nierenzellkarzinom - Ein limitierender prognostischer Faktor?

Allhoff¹,

Pichlmayr²,

Gebel³

et al. 1991

Aktuel Urol

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Nierenkarzinom mit Kavatumorthrombus - radikale Nephrektomie mit extrakorporalem Kreislauf

Cited by 2 publications

References 5 publications

Renal-cell carcinoma with intracaval neoplastic extension: stratification and surgical technique

Renal-cell carcinoma with intracaval neoplastic extension: stratification and surgical technique

Cavatumorthrombus beim Nierenzellkarzinom - Ein limitierender prognostischer Faktor?

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