Radical nephrectomy and thrombectomy for renal cell carcinoma with inferior vena cava thrombus resulted in no intraoperative mortality across four patients when adapting techniques to thrombus level.
Case Report (n=4)
No
Radical nephrectomy and thrombectomy for renal tumors with IVC thrombus can be performed safely with multidisciplinary planning and adaptation of surgical technique to thrombus level.
Abstract Background Renal tumors with IVC thrombus extension form a major surgical challenge with variable surgical outcomes. It needs proper pre-operative preparation and a well-organized surgical team from different specialties. Case series We presented four patients with parenchymal renal tumors with IVC thrombus of different levels who underwent surgery at our institute from 2021 to 2025. All patients underwent radical nephrectomy and thrombectomy. Adequate blood products were prepared preoperatively. The operative approach was adapted according to thrombus extension, with techniques including vascular control, Pringle maneuver, and cardiopulmonary bypass when indicated. The operative time ranged from 5 to 10 h with no intraoperative mortality. During follow-up, tumor recurrence was observed in two patients. Conclusion Renal tumor thrombus requires a multidisciplinary team preparation. Adapting the surgical technique according to the thrombus level is critical to achieve a safe and effective outcome.
R.Taye et al. (Sun,) conducted a case report in Renal cell carcinoma with inferior vena cava thrombus (n=4). Radical nephrectomy and thrombectomy was evaluated on Perioperative mortality and surgical outcomes. Radical nephrectomy and thrombectomy for renal cell carcinoma with inferior vena cava thrombus resulted in no intraoperative mortality across four patients when adapting techniques to thrombus level.