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doi:10.22028/D291-37814
Titel: | Perioperative and oncologic outcomes of open radical nephrectomy and inferior vena cava thrombectomy with liver mobilization and Pringle maneuver for Mayo III level tumor thrombus : single institution experience |
VerfasserIn: | Nini, Alessandro Muttin, Fabio Cianflone, Francesco Carenzi, Cristina Luciano, Roberta Catena, Marco Larcher, Alessandro Salvioni, Marco Cazzaniga, Walter Pederzoli, Filippo Matloob, Rayan Colombo, Renzo Paganelli, Michele Salonia, Andrea Briganti, Alberto Doglioni, Claudio Zangrillo, Alberto DE Cobelli, Francesco Rigatti, Patrizio Freschi, Massimo Cornero, Guglielmo Nicoletti, Roberto Aldrighetti, Luca Montorsi, Francesco Capitanio, Umberto Bertini, Roberto |
Sprache: | Englisch |
Titel: | Minerva Urology and Nephrology |
Bandnummer: | 73 (2021) |
Heft: | 6 |
Seiten: | 746-753 |
Verlag/Plattform: | Edizioni Minerva Medica |
Erscheinungsjahr: | 2020 |
Freie Schlagwörter: | Thrombectomy Carcinoma renal cell Liver |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | BACKGROUND: Scarce data are available regarding the technique and outcomes for patients with RCC and Mayo III caval thrombi. The aim of this study was to report surgical and oncological outcomes of RCC patients with Mayo III thrombi treated with radical nephrectomy and thrombectomy after liver mobilization (LM) and Pringle maneuver (PM). METHODS: Retrospective analysis of surgical technique, outcomes and cancer control in 19 patients undergoing LM and PM in a single tertiary care institution were analyzed. RESULTS: Overall, 78% of the patients had performance status ECOG 1 and 58% had a Comorbidity Index >2. Median surgical time was 305 minutes (IQR 264-440). Intraoperative complications were reported for 39% of patients and postoperative complications for 58% (only grade 1 and 2). Intensive Care Unit support was necessary in 16% of the cases. Median length of hospital stay was 9 days (IQR: 7-11). Thirty- and 90-day mortality were 5% and 15%. Two-year overall survival and cancer-specific survival were 60% and 62%, respectively. CONCLUSIONS: We reported surgical techniques, intra- and perioperative complications and follow-up in the largest cohort of RCC patients requiring LM and PM. |
DOI der Erstveröffentlichung: | 10.23736/S2724-6051.20.03844-8 |
URL der Erstveröffentlichung: | https://www.minervamedica.it/en/journals/minerva-urology-nephrology/article.php?cod=R19Y2021N06A0746 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-378145 hdl:20.500.11880/34198 http://dx.doi.org/10.22028/D291-37814 |
ISSN: | 2724-6442 2724-6051 |
Datum des Eintrags: | 3-Nov-2022 |
Bezeichnung des in Beziehung stehenden Objekts: | Supplementary Digital Material |
In Beziehung stehendes Objekt: | https://www.minervamedica.it/en/journals/minerva-urology-nephrology/article.php?cod=R19Y2021N06A0746&html=1&sdm=Supplementary%20Digital%20Material%201.pdf |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Urologie und Kinderurologie |
Professur: | M - Prof. Dr. Michael Stöckle |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
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