Urology
Volume 71, Issue 5 , Pages 957-961 , May 2008

Radical Nephrocapsulectomy and Caval Thrombectomy with Extracorporeal Circulation and Deep Hypothermic Circulatory Arrest in Right Anterior Minithoracotomy: A Minimally Invasive Approach

  • Roberto Bertini

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
    • Corresponding Author InformationReprint requests: Bertini Roberto, M.D., San Raffaele Hospital, Via Olgettina 60, 20132, Milan.
  • ,
  • Marco Roscigno

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Elisabetta Lapenna

      Affiliations

    • Department of Cardiac Surgery, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy.
  • ,
  • Alessandra Pasta

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Giovanni Petralia

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Elena Strada

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Richard Naspro

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Luigi Da Pozzo

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Renzo Colombo

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy
  • ,
  • Patrizio Rigatti

      Affiliations

    • Department of Urology, Vita-Salute University San Raffaele, San Raffaele Hospital, Milan, Italy

Received 14 June 2007 ,Accepted 20 November 2007.

References 

  1. Pagano F, Dal Bianco M, Artibani W, et al. Renal cell carcinoma with extension into the inferior vena cava: problems in diagnosis, staging and treatment. Eur Urol. 1992;22:200–203
  2. Rigaud J, Hetet JF, Braud G, et al. Surgical care, morbidity, mortality and follow-up after nephrectomy for renal cancer with extension of tumor thrombus into the inferior vena cava: retrospective study since 1990s. Eur Urol. 2006;50:302–310
  3. Bachmann A, Seitz M, Graser A, et al. Tumor nephrectomy with vena cava thrombus. BJU Int. 2005;95:1373–1384
  4. Marshall FF, Reitz BA. Technique for removal of renal cell carcinoma with suprahepatic vena caval tumor thrombus. Urol Clin North Am. 1986;13:551–557
  5. Burt M. Inferior vena caval involvement by renal cell carcinoma: use of venovenous bypass as adjunct during resection. Urol Clin North Am. 1991;18:437–444
  6. Stief CG, Schafers HJ, Kuczyk M, et al. Renal-cell carcinoma with intracaval neoplastic extension: stratification and surgical technique. World J Urol. 1995;13:166–170
  7. Vaidya A, Ciancio G, Soloway M. Surgical techniques for treating a renal neoplasm invading the inferior vena cava. J Urol. 2003;169:435–444
  8. Libertino JA, Zinman L, Watkins E. Long-term results of resection of renal cell cancer with extension into inferior vena cava. J Urol. 1987;137:21–24
  9. Schefft P, Novick AC, Straffon RA. Surgery for renal cell carcinoma extending into the inferior vena cava. J Urol. 1978;120:28–31
  10. Skinner DJ, Pfister RF, Calvin R. Extension of renal cell carcinoma into the vena cava: the rationale for aggressive surgical management. J Urol. 1972;107:711–716
  11. Chiappini B, Savini C, Marinelli G, et al. Cavoatrial tumor thrombus: single-stage surgical approach with profound hypothermia and circulatory arrest, including a review of the literature. J Thorac Cardiovasc Surg. 2002;124:684–688
  12. Novick AC, Kaye MC, Cosgrove DM, et al. Experience with cardiopulmonary bypass and deep hypothermic circulatory arrest in the management of retroperitoneal tumors with large vena caval thrombi. Ann Surg. 1990;212:472–476
  13. Nesbitt JC, Soltero ER, Dinney CPN, et al. Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus. Ann Thorac Surg. 1997;63:1592–1600
  14. Didier D, Rade A, Etievent JP, et al. Tumor thrombus of the inferior vena cava secondary to malignant abdominal neoplasms: US and CT evaluation. Radiology. 1987;162:83–89
  15. Montie JE, Jackson CL, Losgrove DM, et al. Resection of large inferior vena caval thrombi from renal cell carcinoma with the use of circulatory arrest. J Urol. 1988;139:25–28
  16. Giuliani L, Giberti C, Martorana G, et al. Value of computerized tomography and ultrasonography in the preoperative diagnosis of renal cell carcinoma extending into the inferior vena cava. Eur Urol. 1987;13:26–30
  17. Lawrentschuk N, Gani J, Riordan R, et al. Multidetector computed tomography vs magnetic resonance imaging for defining the upper limit of tumor thrombus in renal cell carcinoma: a study and review. BJU Int. 2005;96:291–295
  18. Roy C, Buy X, El Ghali S. Imaging in renal cell cancer. EAU Update Series. 2003;1:209–214
  19. Belgrano E, Trombetta C, Siracusano S, et al. Surgical management of renal cell carcinoma (RCC) with vena cava tumour thrombus. Eur Urol Suppl. 2006;5:610–618
  20. Montie JE, Pontes JE, Novick AC, et al. Resection of inferior vena cava tumor thrombi from renal cell carcinoma. Am Surg. 1991;57:56–61
  21. Jibiki M, Iwai T, Inoue Y, et al. Surgical strategy for treating renal cell carcinoma with thrombus extending into the inferior vena cava. J Vasc Surg. 2004;39:829–835
  22. Yoshidome H, Takeuchi D, Ito H, et al. Should the inferior vena cava be reconstructed after resection for malignant tumors?. Am J Surg. 2005;189:419–424
  23. Wotkowicz C, Libertino JA, Sorcini A, et al. Management of renal cell carcinoma with vena cava and atrial thrombus: minimal access vs median sternotomy with circulatory arrest. BJU Int. 2006;98:289–297
  24. Grossi EA, Galloway AC, La Pietra A, et al. Minimally invasive mitral valve surgery: a 6-year experience with 714 patients. Ann Thorac Surg. 2002;74:660–664
  25. Fitzgerald JM, Tripathy U, Svensson LG, et al. Radical nephrectomy with vena caval thrombectomy using a minimal access approach for cardiopulmonary bypass. J Urol. 1998;159:1292–1293
  26. Welz A, Schmeller N, Schmitz C, et al. Resection of hypernephromas with vena caval or right atrial extension using extracorporeal circulation and deep hypothermic circulatory arrest: a multidisciplinary approach. Eur J Cardiothoracic Surg. 1997;12:127–132

PII: S0090-4295(07)02513-7

doi: 10.1016/j.urology.2007.11.122

Urology
Volume 71, Issue 5 , Pages 957-961 , May 2008