Abstract | OBJECTIVE: METHOD: RESULTS: There were no operative deaths. One patient died on the fourth postoperative day because of pulmonary embolization. The most common postoperative complications were: 1 patient required surgical reexploration because of hemorrhage, there was transitory renal failure in 3 patients, 1 patient developed a postoperative reactive psychosis and 1 patient developed a subclinical pericarditis. CONCLUSION: We believe that the resection of retroperitoneal malignancies with venous tumor thrombus extension offers, in selected patients, the only chance of reasonable long-term survival. The application of a cardiopulmonary bypass and hypothermia in high level vena cava thrombi is an important advance that has improved the safety and technical efficacy of a difficult surgical undertaking.
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Authors | F I Rodríguez-Rubio, J I Abad, G Sanz, F Diez-Caballero, A Martín-Marquina, D Rosell, J E Robles, J J Zudaire, R Llorens, J M Berián |
Journal | European urology
(Eur Urol)
Vol. 32
Issue 2
Pg. 194-7
( 1997)
ISSN: 0302-2838 [Print] Switzerland |
PMID | 9286653
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Cardiopulmonary Bypass
- Heart Arrest, Induced
- Humans
- Hypothermia, Induced
- Kidney Neoplasms
(pathology, surgery)
- Male
- Middle Aged
- Neoplastic Cells, Circulating
- Postoperative Complications
- Retroperitoneal Neoplasms
(pathology, surgery)
- Testicular Neoplasms
(pathology, surgery)
- Vena Cava, Inferior
(pathology)
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