Perioperative and Oncologic Outcomes of Nephrectomy and Caval Thrombectomy Using Extracorporeal Circulation and Deep Hypothermic Circulatory Arrest for Renal Cell Carcinoma Invading the Supradiaphragmatic Inferior Vena Cava and/or Right Atrium

Conclusions RN with CT using ECC and DHCA is a challenging procedure which requires a dedicated multidisciplinary working team to minimise complications and maximise patients’ outcomes. Patient summary Patients with kidney cancer and a thrombus within the inferior vena cava, which reaches above the diaphragm, can be treated with surgery. However, this kind of surgical treatment is challenging and requires a dedicated multidisciplinary team in order to accomplish the task. Radical nephrectomy and caval thrombectomy using extracorporeal circulation and deep hypothermic circulatory arrest is a challenging procedure, which requires a dedicated multidisciplinary working team. We provide evidence that cM0 patients have non-negligible midterm survival. Conversely, in cM1 patients, survival remains invariably poor.
Source: European Urology - Category: Urology & Nephrology Source Type: research