Surgical treatment of renal cell carcinoma with extension into the vena cava

Steinberg, Gary D.; Reitz, Bruce A.; Marshall, Fray F.

doi:10.1007/bf00182836

Cited by 2 publications

(2 citation statements)

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“…The head is generally kept colder than the recorded core-body temperatures. Renal failure and postoperative dialysis have occurred in a few patients [18]. To avoid this complication we have made more effort to reconstruct the vena cava, if at all possible, including the use of pericardium for caval reconstruction [6].…”

Section: Discussionmentioning

confidence: 99%

Radical surgery for renal-cell carcinoma: caval neoplastic excision, adrenalectomy, lymphadenectomy, adjacent organ resection

et al. 1995

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A radical nephrectomy typically includes early ligation of the renal vessels, excision of the kidney and perinephric tissue, a regional lymphatenectomy, and an adrenalectomy. More controversial may be excision of supradiaphragmatic caval neoplastic extension and adjacent organ resection. Although survival is low in these unfavorable groups of patients, some patients may benefit from the extensive local resection of tumor, including adrenalectomy, lymphatenectomy, caval resection, and resection of adjacent organs.

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Section: Discussionmentioning

confidence: 99%

Radical surgery for renal-cell carcinoma: caval neoplastic excision, adrenalectomy, lymphadenectomy, adjacent organ resection

et al. 1995

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“…Etwa 30-60 % der Patienten weisen unspezifische Begleitsymptome auf, wie Flankenschmerz, Abgeschlagenheit, Gewichtabnahme, Nachtschweiß, Hämaturie und paraneoplastische Syndrome [1,12,40,43,47]. Etwa 30-60 % der Patienten weisen unspezifische Begleitsymptome auf, wie Flankenschmerz, Abgeschlagenheit, Gewichtabnahme, Nachtschweiß, Hämaturie und paraneoplastische Syndrome [1,12,40,43,47].…”

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Rationelle Diagnostik und operative Therapie des Nierenzellkarzinoms mit Tumorthrombus in der V. cava

et al. 1997

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Venous involvement in renal cell carcinoma (RCC) represents an advanced state of disease. Nonetheless, its influence on survival is rather secondary compared with that of local tumor growth, grading and metastasis. Since conservative treatment in advanced RCC is mainly ineffective, surgical management offers the most promising approach for potential cure. Only patients without metastasis, however, seem to benefit from an aggressive surgical intervention. The surgical technique itself is determined by the vena caval extent of the tumor thrombus. Preferably, noninvasive imaging techniques should provide information about metastasis and the extent of the tumor thrombus. Diagnostic efforts should be adapted to therapeutic feasibility and prognosis in every individual patient in order to avoid fatiguing and costly over-examination. The standards requested above can be realized by use of modern sonographic and computed-tomographic imaging techniques or by magnetic resonance imaging alone. Thus, nowadays, the essential diagnostics in RCC with vena caval involvement may dispense with angiographic examinations.

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Surgical treatment of renal cell carcinoma with extension into the vena cava

Cited by 2 publications

References 22 publications

Radical surgery for renal-cell carcinoma: caval neoplastic excision, adrenalectomy, lymphadenectomy, adjacent organ resection

Radical surgery for renal-cell carcinoma: caval neoplastic excision, adrenalectomy, lymphadenectomy, adjacent organ resection

Rationelle Diagnostik und operative Therapie des Nierenzellkarzinoms mit Tumorthrombus in der V. cava

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