Surgery for adrenal tumours with thrombus in the supra-diaphragmatic infra-atrial inferior vena cava, with no cardiopulmonary bypass

BJU International
Antonio M LuconSami Arap

Abstract

To assess the result of surgery for adrenal neoplasia with thrombus in the supra-diaphragmatic infra-atrial inferior vena cava. Five patients with adrenal cortex carcinoma and three with phaeochromocytoma were reviewed. All the thrombi were removed through a right thoracophrenolaparotomy in the fifth intercostal space, with clamping of the intrathoracic portion of the inferior vena cava, with no cardiopulmonary bypass. In the first two cases the thrombi were removed in a second surgical procedure after resecting the tumours. In the other six the complete procedure was done in one surgical stage. There were no surgery-related deaths. The major complications after surgery were pulmonary atelectasis, acute renal failure, a large retroperitoneal collection, deep vein thrombosis and pulmonary embolism, each in one patient. Of the five patients with adrenal cortex carcinoma one is still alive after 15 years with no evidence of disease, one is alive with pulmonary metastases 15 months after surgery and the other three died from widespread disease after 5, 12 and 15 months. Of the three patients with phaeochromocytoma, two show no evidence of the disease 2.5 and 11 years later and one died from myocardial infarction, with no evidence o...Continue Reading

References

May 1, 1987·British Journal of Urology·R J Neves, H Zincke
Mar 1, 1997·The British Journal of Radiology·T N LauJ Bullimore
Oct 6, 1997·British Journal of Urology·N ArunG Gopalakrishnan
Nov 20, 1997·The Journal of Urology·S P Hedican, F F Marshall
May 11, 2002·Scandinavian Journal of Urology and Nephrology·John P Chesson, Dan Theodorescu

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Citations

Aug 15, 2013·Der Urologe. Ausg. A·M WeberZ Halloul
Jan 29, 2013·Journal of Vascular Surgery·George RansfordGaetano Ciancio
Jul 28, 2009·Current Problems in Diagnostic Radiology·Maria Lourdes DíazJose Juan Noguera
Sep 12, 2009·Thrombosis Research·Davide ImbertiUNKNOWN Italian Society for Thrombosis and Haemostasis
Nov 11, 2005·The Journal of Urology·Silvio TucciRodolfo B Reis
Mar 13, 2013·Journal of Vascular Surgery·Sameer KaiserAlan M Dietzek
Jul 16, 2011·Urologia Internationalis·Yasser OsmanIbrahim Eraky
Jul 31, 2012·Journal of the American Animal Hospital Association·Pierre J GuillaumotCyrill Poncet
Mar 12, 2005·Arquivos brasileiros de endocrinologia e metabologia·Ana Claudia Latronico, Berenice B de Mendonça

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