Key result
Surgical repair with cardiopulmonary bypass for suprahepatic caval RCC thrombus yields ~38% three-year survival.
Why the study?
Does surgical repair with partial cardiopulmonary bypass improve outcomes in patients with suprahepatic vena caval thrombus from renal cell carcinoma?
Population
12 patients with suprahepatic vena caval thrombus from renal cell carcinoma
Design
Case_series
Follow-up
up to 5 years
Authors
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Should not yet change practice for suprahepatic RCC thrombus; leaves open whether bypass improves survival.
Observational (n=12)
Does surgical repair with partial cardiopulmonary bypass improve outcomes in patients with suprahepatic vena caval thrombus from renal cell carcinoma?
Partial cardiopulmonary bypass is a useful adjunct for controlling bleeding during surgical resection and inferior vena cava reconstruction in patients with renal cell carcinoma tumor thrombus extending to the suprahepatic IVC.
Yamashita et al. (1999) conducted an observational in Suprahepatic vena caval renal cell carcinoma tumor thrombus (n=12). Surgical repair with cardiopulmonary bypass was evaluated on Survival at 3 years. Surgical repair with cardiopulmonary bypass for suprahepatic vena caval RCC tumor thrombus yielded a 3-year survival of 37.5% and a 5-year survival of 18.8%.
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