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The Annals of Thoracic Surgery, Vol 46, 36-39, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Vena caval involvement with renal tumors: surgical considerations

CG Tribble, TM Gerkin, TL Flanagan, JM Pitman and IL Kron
University of Virginia Medical Center, Department of Surgery, Charlottesville 22908.

We reviewed the experience at the University of Virginia over the past 10 years with renal tumors involving the inferior vena cava. There were 107 patients with renal tumors, 41 with invasion of the renal vein and 18 with involvement of the inferior vena cava. The groups with and without vena caval tumors were compared, and the operative approach is described. Although the rate of complications was higher in operations on the vena cava, none were fatal and no patient required chronic dialysis. Life-table analysis revealed that patients with involvement of the inferior vena cava survived longer than those with incomplete resection. Because extraction of these tumors can be accomplished with acceptable morbidity and mortality, because complete resection confers a survival advantage, and because chemotherapy and radiation are ineffective, we recommend aggressive workup and resection of renal tumors involving the inferior vena cava.


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J. A. Kern and I. L. Kron
Management of Renal Tumors Involving the Inferior Vena Cava
Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1999; 11(2): 1 - 13.
[Abstract] [PDF]


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