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Surgical Management of Renal Cell Carcinoma with Inferior Vena Cava Tumour Thrombus

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Objectives: Renal cell carcinoma with tumor thrombus involving the inferior vena cava is a refractory condition, on which debates remain in terms of choices of surgical treatment as well as survival. This article aims to present the recent development of the surgical management and the prognosis of this condition.

Design of study: Pertinent literature in terms of surgical treatment of renal cell carcinoma with tumor thrombus involving the inferior vena cava is systematically reviewed.

Results: Surgical techniques for the management of renal cell carcinoma have undertaken numerous modifications in order to minimize trauma, facilitate complete removal of tumours and promote long-term survival. Recently, minimally invasive approaches have been developed and successfully applied in the patients. As a result, patients’ survival has been considerably improved.

Conclusions: The surgical techniques of the IVC tumor thrombus have been steadily improved aiming at reducing the surgical difficulty, reducing the surgical complications and promoting long-term survival. The survival is significantly related to the nature of the tumor (such as size, level, scale, and metastasis, etc). More efforts are being taken for further innovations of the surgical technique in terms of mini-trauma, lower cost, and long-term survival.

10 Dec, 2017
e-Published: 13 Dec, 2017


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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