Novel Approach to Recurrent Cavoatrial Renal Cell Carcinoma
Division of Cardiac Surgery, Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.The Annals of thoracic surgery (Impact Factor: 3.85). 05/2012; 93(5):e119-21. DOI: 10.1016/j.athoracsur.2011.12.040
Renal cell carcinoma (RCC) with cavoatrial extension is a rare and complex problem. Complete resection is difficult but correlates with favorable patient outcomes. We present 2 cases of successful reoperative resections of recurrent RCC in patients with level III-IV cavoatrial involvement. We used a thoracoabdominal approach, peripheral cannulation, and hypothermic circulatory arrest. We advocate this novel approach as a successful means of avoiding a more difficult reoperation. (Ann Thorac Surg 2012;93:e119-21) (c) 2012 by The Society of Thoracic Surgeons
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ABSTRACT: Thoracic incisions are the portals of choice for accessing thoracic organs. There are instances, however, that more than one incision are required at the same or a later stage, in order to access other, thoracic or extrathoracic, organs for more complicated procedures. Then again, a single thoracic incision may offer more than adequate access to extrathoracic organs and in selected cases becomes valuable surgical approach to organs of the upper abdomen or the contralateral hemithorax. The experience with this technique is discussed.Updates in Surgery 11/2014; 66(4). DOI:10.1007/s13304-014-0271-2
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