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Figure 3: Modifi ed Rommel tourniquet placed just below the level of liver (upper left) with anterior incision of the inferior vena cava (IVC) to extract tumor thrombus (upper right) and visualize posterior edge of incision in IVC (lower right) to allow division of posterior edge of the right renal vein until tumor thrombus freed from IVC (lower right)

Figure 3: Modifi ed Rommel tourniquet placed just below the level of liver (upper left) with anterior incision of the inferior vena cava (IVC) to extract tumor thrombus (upper right) and visualize posterior edge of incision in IVC (lower right) to allow division of posterior edge of the right renal vein until tumor thrombus freed from IVC (lower right)