Document Detail


Surgery of cavo-atrial renal carcinoma employing circulatory arrest: immediate and mid-term results.
MedLine Citation:
PMID:  9610830     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1990 to 1995, 12 patients with cavo-atrial renal cell carcinoma underwent resection of the tumor. Circulatory arrest was employed in 11/12 cases. The neoplasm extended to the inferior vena cava in two patients and to the intrahepatic veins or right atrium in five cases. Two severely cardiac compromised patients died perioperatively. Of five patients who showed preoperative suspicion of isolated metastases, 3 patients died postoperatively because of relapsing disease after a mean period of 10.8 months. Five patients are alive and doing well after a mean follow-up of 14.8 months. In our experience myocardial dysfunction determined poor immediate survival. Mid-term survival was influenced by preoperative metastases and lymph-node involvement, but not by intracaval extension. Circulatory arrest appears to be a relatively safe technique to remove renal carcinoma with cavo-atrial extension and should be indicated whenever there are no metastases.
Authors:
F Donatelli; M Pocar; M Triggiani; A Moneta; I Lazzarini; G D'Ancona; S Pelenghi; A Grossi
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  6     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-07-30     Completed Date:  1998-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  166-70     Citation Subset:  IM    
Affiliation:
Institute for Cardiovascular and Respiratory Diseases, University of Milan, Ospedale Maggiore Policlinico, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Renal Cell / mortality,  secondary,  surgery*
Disease-Free Survival
Female
Follow-Up Studies
Heart Arrest, Induced / methods*
Heart Atria
Heart Neoplasms / mortality,  secondary,  surgery*
Humans
Kidney Neoplasms / mortality,  pathology,  surgery*
Male
Middle Aged
Prognosis
Survival Rate
Vascular Neoplasms / secondary,  surgery*
Vena Cava, Inferior*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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