Prognostic factors for RCC and venous tumor thrombus Nonmetastatic TNM stage and anatomic characteristics Tumor size >7 cm Lymph node status Invasion of the collecting system Invasion of perirenal fat…
Fig. 6.1 Total vascular exclusion of the liver 6.2.2 Hemodynamic Changes of the Caval Cross Clamping Total vascular exclusion leads to a decrease of 10 % of blood pressure, 25…
Fig. 11.1 Conventional vena cava reconstruction. The liver graft is shown in place after completion of both suprahepatic and infrahepatic IVC anastomoses 11.3 Venovenous Bypass One of the consequences of…
Intrinsic Thrombosis Stenosis (ex: congenital membranes) Tumor: primary, invasion from adjacent organ/retroperitoneum Iatrogenic (central catheter placement, cava filter) Extrinsic Compression by retroperitoneal mass (lymph nodes, retroperitoneal fibrosis, tumor, aortic aneurysm)…
Fig. 12.1 For a satisfactory outflow reconstruction, the anterior wall of the vena cava and three hepatic veins are used to create a large orifice under cross-clamping of the vena…
Fig. 4.1 Radiologic assessment of IVC involvement. Panel (a) Primary retroperitoneal dedifferentiated liposarcoma, the IVC is hardly distinguishable on the preoperative CT scan (a i, arrows). Safe dissection plane found…
Fig. 13.1 IVC filters that are commercially available. (a) Optease (Cordis). (b) ALN filter (ALN). (c) Celect (Cook). (d) Denali (Bard) Selection of the optimal device is mainly based on…
Fig. 10.1 Portal triad occlusion (Pringle maneuver) and clamping of supraceliac aorta (quadruple vascular clamping) 10.3.3 Cavo-Caval Venous Bypass Procedures The common principle of cavo-caval bypass procedures is the maintenance…
(1) Service de Chirurgie Cardiaque et Vasculaire, Hôpital Européen Georges Pompidou, AP-HP, Faculté de Médecine René Descartes, Université Paris 5, Paris, France 9.1 Introduction Abdominal tumors with involvement of…
Fig. 7.1 CT and MRI images demonstrating typical cases for consideration of the ex situ IVC resection with hepatectomy technique. Note the involvement of the IVC, hepatocaval confluence and portal…
