Complete radical nephrectomy and vena caval thrombectomy during circulatory arrest

John A. Belis, Mark E. Levinson, Walter E. Pae

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


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 languageEnglish (US)
Pages (from-to)434-436
Number of pages3
JournalJournal of Urology
Issue number2
StatePublished - Feb 2000

All Science Journal Classification (ASJC) codes

  • Urology


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