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COMPLICATIONS OF SURGICAL TREATMENT OF A RENAL—CELL CANCER WITH INTRAVENOUS SPREADING

Klinična hìrurgìâ (Kiïv), 2016 (12), p.49-51 [Peer Reviewed Journal]

ISSN: 0023-2130 ;PMID: 30272873

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Title:
COMPLICATIONS OF SURGICAL TREATMENT OF A RENAL—CELL CANCER WITH INTRAVENOUS SPREADING
Author: Shchukin, D V ; Lesovoy, V N ; Garagatiy, I A ; Khareba, G G ; Polyakov, N N ; Arkatov, A V ; Savenkov, V I ; Maltsev, A V
Subjects: Brain Edema - etiology ; Brain Edema - mortality ; Brain Edema - pathology ; Carcinoma, Renal Cell - blood supply ; Carcinoma, Renal Cell - mortality ; Carcinoma, Renal Cell - pathology ; Carcinoma, Renal Cell - surgery ; Cerebrovascular Disorders - etiology ; Cerebrovascular Disorders - mortality ; Cerebrovascular Disorders - pathology ; Humans ; Kidney Neoplasms - blood supply ; Kidney Neoplasms - mortality ; Kidney Neoplasms - pathology ; Kidney Neoplasms - surgery ; Neoplasm Invasiveness ; Neoplastic Cells, Circulating - pathology ; Nephrectomy - methods ; Postoperative Complications - mortality ; Postoperative Complications - pathology ; Renal Veins - pathology ; Renal Veins - surgery ; Retrospective Studies ; Survival Analysis ; Thrombectomy - methods ; Vena Cava, Inferior - pathology ; Vena Cava, Inferior - surgery ; Venous Thrombosis - mortality ; Venous Thrombosis - pathology ; Venous Thrombosis - surgery
Is Part Of: Klinična hìrurgìâ (Kiïv), 2016 (12), p.49-51
Description: Retrospective investigation, conducted for estimation of perioperative complications, while performing surgical treatment of a renal—cell cancer with tumoral thrombi, was presented. In 132 patients the tumoral thrombi spreading is restricted by renal vein and by vena cava inferior (VCI) as well. The patients were operated on, using the "chevron" access in the absence of artificial blood circulation. Perioperative complications rate in the patients in presence of macroscopic tumoral thrombi constitute 56.8%, while tumoral spreading into VCI — is trustworthy bigger (р<0.05). Presence of cardiac insufficiency, tumoral invasion of the VCI wall, retrograde spreading of thrombus with the VCI concurrent blood thrombosis, аs well as presence of the indices in accordance to the ECOG scale more than 1 point have constituted unfavorable factors.
Publisher: Ukraine
Language: Ukrainian
Identifier: ISSN: 0023-2130
PMID: 30272873
Source: MEDLINE
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COMPLICATIONS OF SURGICAL TREATMENT OF A RENAL—CELL CANCER WITH INTRAVENOUS SPREADING

ISSN: 0023-2130 ;PMID: 30272873

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