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Published in: World Journal of Surgical Oncology 1/2014

Open Access 01-12-2014 | Research

Modified liver mobilization for the treatment of renal cell carcinoma with thrombosis involving the intrahepatic inferior vena cava

Authors: Zhijian Han, Changjun Yin, Xiaoxin Meng, Qiang Lu, Xiaobing Ju, Jie Li, Chao Qin, Pengfei Shao, Rijin Song, Pei Lu, Bianjiang Liu, Jiexiu Zhang, Min Gu

Published in: World Journal of Surgical Oncology | Issue 1/2014

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Abstract

Background

We aimed to evaluate the feasibility and clinical significance of using a modified liver-mobilization technique to treat renal cell carcinoma (RCC) combined with intrahepatic inferior vena cava (IVC) thrombosis.

Methods

A total of 11 level III thrombus patients underwent radical nephrectomy with resection of the tumor thrombus from intrahepatic IVC. A father clamp was used in combination with hepatic portal blocking to control the IVC.

Results

The intraoperative mortality and postoperative complications were reduced in 11 cases of RCC with intrahepatic IVC thrombosis. The mean blood loss was 800 mL, and mean patient hospital stay was 13 days. Follow-up was conducted for one to four months, with only two cases of recurrence recorded.

Conclusions

The proposed modified liver-mobilization technique could safely and effectively treat RCC and reduce intrahepatic IVC thrombosis.
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Metadata
Title
Modified liver mobilization for the treatment of renal cell carcinoma with thrombosis involving the intrahepatic inferior vena cava
Authors
Zhijian Han
Changjun Yin
Xiaoxin Meng
Qiang Lu
Xiaobing Ju
Jie Li
Chao Qin
Pengfei Shao
Rijin Song
Pei Lu
Bianjiang Liu
Jiexiu Zhang
Min Gu
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2014
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-12-131

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