Vena cava thrombectomy in kidney cancer.Nefrectomía radical con trombectomía de vena cava: 20 años de cirugías por tumor renal

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dc.article.numbere248451
dc.contributor.authorRojas P.A.
dc.contributor.authorBravo J.C.
dc.contributor.authorNavarro R.
dc.contributor.authorVillagran S.
dc.contributor.authorZuniga A.
dc.contributor.authorTroncoso P.
dc.contributor.authorBecker P.
dc.contributor.authorBriceno E.
dc.contributor.authorSan Francisco I.F.
dc.date.accessioned2025-05-01T10:31:20Z
dc.date.available2025-05-01T10:31:20Z
dc.date.issued2022
dc.description.abstract© 2022 Sociedad Medica de Santiago. All rights reserved.Background: Vena cava (VC) involvement in kidney tumors occurs in 4 to 10% of cases, and is associated with a higher mortality. Nephrectomy with thrombectomy of the VC, performed by a multidisciplinary team, improves survival. Aim: To report a series of consecutive nephrectomies with caval thrombectomy performed in an academic center. Patients and Methods: We report 32 patients with cT3b and 3c renal tumors, who underwent radical nephrectomy with VC thrombectomy between 2001 and 2021. A descriptive analysis of clinical, surgical and pathological variables was performed. Overall survival (OS) and cancer-specific survival (CSS) was calculated using Kaplan-Meier curves. Results: The mean tumor size was 9.7 cm. According to Mayo classification 3/32 (9%) patients had a type I thrombus, 10/32 (31%) had a type II thrombus, 8/32 (25%) had a type III thrombus, and 5/32 (16%) had a type IV thrombus. The mean bleeding was 2000 cc. There was one intraoperative death. Nineteen percent of patients had complications >= 3 according to Clavien-Dindo classification. Reoperations occurred in 9%. Pre and postoperative creatinine levels were 1.17 and 1.91 mg/dl respectively (p < 0.01). Pre and postoperative Hematocrit levels were 47.9 and 31% respectively (p = 0.02). Sixty six percent of tumors were clear cell renal cancer, 9% were papillary and 3% were chromophobic. Mean OS was 10 months. Two-year SCE was 40%. Conclusions: Our results are similar to those reported elsewhere. Despite being an unusual pathology, the surgical technique has been improving, thanks to the multidisciplinary work of urologists and surgeons.
dc.description.funder16.744 de Accidentes del Trabajo y Enfermedades Profesionales
dc.description.funderInnovación en Prevención de Accidentes y Enfermedades Profesionales 2014 de la Superintendencia de Seguridad Social
dc.format.extent13 páginas
dc.fuente.origenScopus
dc.identifier.doi10.4067/S0034-98872022000800994
dc.identifier.eisbn978-1-5106-5352-8
dc.identifier.eissn1542-7714
dc.identifier.isbn978-1-5106-5351-1
dc.identifier.issn07176163 00349887
dc.identifier.pubmedid40243597
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85158157084
dc.identifier.urihttps://doi.org/10.4067/S0034-98872022000800994
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103743
dc.identifier.wosidWOS:001159473800015
dc.information.autorucEscuela de Medicina; San Francisco Reyes Ignacio Felipe; 0000-0001-8344-6988; 152729
dc.information.autorucEscuela de Medicina; Briceno Valenzuela Eduardo Andres; S/I; 18751
dc.information.autorucEscuela de Medicina; Rojas Ruz Pablo Andres; S/I; 148956
dc.information.autorucEscuela de Medicina; Troncoso Carrasco Pablo Arnoldo; S/I; 68155
dc.information.autorucEscuela de Medicina; Zuniga Avendano Alvaro Alfonso; S/I; 72399
dc.information.autorucEscuela de Medicina; Becker Rencoret Pedro Antonio German; S/I; 77763
dc.issue.numero8
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final999
dc.pagina.inicio994
dc.relation.ispartofInternational Conference on Intelligent User Interfaces (30a. : 2025)
dc.revistaRevista Medica de Chile
dc.rightsacceso abierto
dc.subjectKidney Neoplasms
dc.subjectNephrectomy
dc.subjectVenae Cavae
dc.subject.ddc510
dc.subject.deweyMatemática física y químicaes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleVena cava thrombectomy in kidney cancer.Nefrectomía radical con trombectomía de vena cava: 20 años de cirugías por tumor renal
dc.typeartículo
dc.volumen150
sipa.codpersvinculados152729
sipa.codpersvinculados18751
sipa.codpersvinculados148956
sipa.codpersvinculados68155
sipa.codpersvinculados72399
sipa.codpersvinculados77763
sipa.indexScopus
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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