We wholeheartedly agree that these highly complex cases should only be performed at
high-volume centers with specialized surgical expertise. While careful review of available
imaging and thorough preoperative planning should be routine for any complex case,
as noted the operating surgeon must rely on real-time assessment in the operating
room to optimize safe and effective removal of the tumor and thrombus. Some preoperative
data that may predict the need for cavectomy include:
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Reference
- Clinical and radiographic predictors of the need for inferior vena cava resection during nephrectomy for patients with renal cell carcinoma and caval tumour thrombus.BJU Int. 2015; 116: 388-396
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