Surgical Treatment of Renal Cell Carcinoma With Cavoatrial Involvement: A Systematic Review of the Literature

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• 作者：Mario Gaudino ; MD^a ; ^b ; ^{mgaudino@tiscali.it" class="auth_mail" title="E-mail the corresponding author} ; Christopher Lau ; MD^a ; Federico Cammertoni ; MD^b ; Virginia Vargiu ; MD^b ; Ivancarmine Gambardella ; MD^a ; Massimo Massetti ; MD^b ; Leonard N. Girardi ; MD^a
• 关键词：CPB ; cardiopulmonary bypass ; DHCA ; deep hypothermic circulatory arrest ; IBS ; intraoperative blood salvage ; IVC ; inferior vena cava ; MRI ; magnetic resonance imaging ; NT ; neoadjuvant therapy ; RAE ; renal artery embolization ; RCC ; renal cell carcinoma ; TOT ; total operative time ; VVBP ; venovenous bypass
• 刊名：The Annals of Thoracic Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：101
• 期：3
• 页码：1213-1221
• 全文大小：185 K

文摘

The treatment of renal cell carcinoma (RCC) with cavoatrial involvement represents a major surgical challenge. To date, many surgical strategies have been proposed. However, general agreement on the best approach does not yet exist.

Deep hypothermic circulatory arrest (DHCA) is the most commonly used method and allows complete tumor resection without increasing operative risk. Cardiopulmonary bypass (CPB) without circulatory arrest and methods using no CBP were also proposed, without a clear evidence of superiority of 1 technique over the others. Further studies are needed to evaluate the possible role of alternative techniques compared with deep hypothermic circulatory arrest.