Surgical Treatment of Renal Cell Carcinoma with IVC Tumor Extension Using Deep Hypothermic Circulatory Arrest: A Case Report.
- Author:
Shin Kwang KANG
1
;
Si Wook KIM
;
Tae Hee WON
;
Kwan Woo KU
;
Myung Hoon NA
;
Jae Hyun YU
;
Seung Pyung LIM
;
Young LEE
;
Jong Goo SUL
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University. Daejeon, Korea. thomasna@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Carcinoma, renal cell;
Thrombosis;
Inferior vena cava;
Total circulatory arrest
- MeSH:
Carcinoma, Renal Cell*;
Circulatory Arrest, Deep Hypothermia Induced*;
Gonads;
Hematuria;
Hepatic Veins;
Humans;
Immunotherapy;
Interferons;
Kidney;
Middle Aged;
Nephrectomy;
Renal Veins;
Thrombosis;
Veins;
Vena Cava, Inferior
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(10):755-759
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 64-year-old man was admitted for gross hematuria. Preoperative study revealed right renal cell carcinoma with inferior vena cava(IVC) tumor thrombus. Right radical nephrectomy was performed, and deep hypothermic circulatory arrest(DHCA) with retrograde cerebral perfusion(RCP) was used for extraction of tumor thrombus in the IVC. The thrombus originated from the right kidney, which extended the orifice of the gonadal vein in the left renal vein laterally, the hepatic vein superiorly, and 3 cm below the right renal vein inferiorly. The thrombus was removed completely without caval wall injury under DHCA with RCP, and the postoperative course was uneventful. He received immunotherapy with interferon, and followed up without any surgical problem.
