| RESEARCH ARTICLE |
|
| Year : 2004 | Volume
: 20
| Issue : 2 | Page : 90-94 |
|
|
Renal cell carcinoma with tumor thrombus extension to inferior vena cava: SGPGIMS experience
Vishwajeet Singh, Wahid Zaman, Anant Kumar, Rakesh Kapoor, Aneesh Srivastava
Department of Urology & Renal Transplantation, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, India
Correspondence Address:
Aneesh Srivastava
Department of Urology & Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow - 226 014
India
 Source of Support: None, Conflict of Interest: None  | Check |
|
|
|
Objectives : Renal cell carcinoma with tumor thrombus extension to inferior vena cava is found in 4-10% of patients. We evaluated the surgical techniques of thrombectomy for different levels of the tumor thrombus in inferior vena cava and overall surgical outcome in these patients.
Methods : We retrospectively reviewed the records of 17 patients operated between 1994 and 2001. Eleven patients had Infrahepatic (level I) thrombus, retrohepatic (level II) thrombus in two patients and four had supradiaphragmatic (level III) thrombus without intra-a trial extension. All patients underwent radical nephrectomy and vena caval thrombectomy. The retrohepatic and supradiaphragmatic thrombectomies were done under venovenous bypass.
Results : The patients with infrahepatic and retrohepatic thrombectomies recovered without any major post operative complication. Two patients with supradiaphragmatic thrombectomy died in postoperative period. The overall 2-year and 5-year survivals were 64.9% and 29.5% respectively.
Conclusions: Radical nephrectomy and vena caval thrombectomy is the best treatment option in renal call carcinoma with tumor thrombus extending to inferior vena cava. The retrohepatic and supradiaphragmatic thrombectomies can be done with the help of venovenous bypass in select group of patients. |
|
|
|
| [FULL TEXT] [PDF Not available]* |
|
 |
|
Next article
