Key result
Right RCC and IVC resection without reconstruction is not linked to long-term renal function decline.
Why the study?
There are no reports evaluating mid- and long-term effect on renal function after resection of right renal cell carcinoma and IVC with tumor thrombus without IVC reconstruction.
Does resection of right renal cell carcinoma and inferior vena cava without reconstruction affect long-term renal function in patients with obstructing level II-IV tumor thrombus?
Comparison
Resection without reconstruction of the inferior vena cava
Design
Bi-institutional retrospective review
Follow-up
12 months
Authors
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May support IVC resection without reconstruction in select right RCC cases with collaterals; leaves open mid- and long-term renal outcomes.
Observational (n=22)
Yes
Does resection of right renal cell carcinoma and inferior vena cava without reconstruction affect long-term renal function in patients with obstructing level II-IV tumor thrombus?
Resection of right renal cell carcinoma with IVC tumor thrombus without IVC reconstruction does not appear to significantly impair long-term renal function.
Horodyski et al. (2021) conducted an observational in Right renal cell carcinoma with obstructing level II-IV tumor thrombus (n=22). Right radical nephrectomy with en bloc resection of the IVC and tumor thrombus without caval reconstruction was evaluated on Long-term renal function (post-operative creatinine). En bloc resection of right renal cell carcinoma and inferior vena cava without caval reconstruction did not adversely impact long-term renal function, with median creatinine at 12 months being 1.34 mg/dL.
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