Complete radical nephrectomy and vena caval thrombectomy during circulatory arrest

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

Research output: Contribution to journalArticle

24 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)434-436
Number of pages3
JournalJournal of Urology
Volume163
Issue number2
DOIs
StatePublished - Jan 1 2000

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Thrombectomy
Venae Cavae
Nephrectomy
Thrombosis
Embolectomy
Neoplasms
Morbidity
Carcinoma
Kidney
Safety

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Belis, John A. ; Levinson, Mark E. ; Pae, Walter. / Complete radical nephrectomy and vena caval thrombectomy during circulatory arrest. In: Journal of Urology. 2000 ; Vol. 163, No. 2. pp. 434-436.
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Complete radical nephrectomy and vena caval thrombectomy during circulatory arrest. / Belis, John A.; Levinson, Mark E.; Pae, Walter.

In: Journal of Urology, Vol. 163, No. 2, 01.01.2000, p. 434-436.

Research output: Contribution to journalArticle

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