Resection of recurrent inferior vena cava tumor after radical nephrectomy for renal cell carcinoma

Management of recurrent tumor in the inferior vena cava (IVC) after radical nephrectomy is surgically challenging. We report 3 cases of recurrent renal cell carcinoma within the IVC managed by three different surgical techniques. One patient was treated with tumor thrombus removal and primary cavoto...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 2006-05, Vol.67 (5), p.1084.e5-1084.e7
Hauptverfasser: Smaldone, Marc C., Cannon, Glenn M., Hrebinko, Ronald L.
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container_title Urology (Ridgewood, N.J.)
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creator Smaldone, Marc C.
Cannon, Glenn M.
Hrebinko, Ronald L.
description Management of recurrent tumor in the inferior vena cava (IVC) after radical nephrectomy is surgically challenging. We report 3 cases of recurrent renal cell carcinoma within the IVC managed by three different surgical techniques. One patient was treated with tumor thrombus removal and primary cavotomy closure. The second patient was treated with IVC ligation and removal without vascular reconstruction. A third patient was treated with IVC wall excision and placement of a bovine pericardium graft. Although technically difficult, repeat resection of IVC tumor recurrence after nephrectomy for renal cell carcinoma is an acceptable method of treatment.
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subjects Aged
Carcinoma, Renal Cell - secondary
Carcinoma, Renal Cell - surgery
Female
Humans
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Male
Middle Aged
Neoplasm Recurrence, Local - diagnostic imaging
Neoplasm Recurrence, Local - surgery
Nephrectomy
Postoperative Complications
Tomography, X-Ray Computed
Vascular Neoplasms - secondary
Vascular Neoplasms - surgery
Vascular Surgical Procedures
Vena Cava, Inferior
title Resection of recurrent inferior vena cava tumor after radical nephrectomy for renal cell carcinoma
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