Abstract
Purpose: A modification of radical nephrectomy for renal carcinoma and vena caval tumor thrombectomy for supradiaphragmatic tumor extension under hypothermic circulatory arrest is presented. Materials and Methods: Nephrectomy was performed during the circulatory arrest time in 16 consecutive patients during the last 4 years. Results: Average hypothermic circulatory arrest time increased by 6 minutes. By elimination of manipulation of tumor and thrombus before circulatory arrest potential thrombus fragmentation and embolization were minimized. There were no significant differences in blood loss or complications compared to a prior series of 10 patients undergoing the procedure using conventional techniques. Conclusions: Performance of complete radical nephrectomy along with venal caval embolectomy during circulatory arrest increases the safety of the procedure without significant morbidity.
Original language | English (US) |
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Pages (from-to) | 434-436 |
Number of pages | 3 |
Journal | Journal of Urology |
Volume | 163 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2000 |
All Science Journal Classification (ASJC) codes
- Urology