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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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