Resection of abdominal inferior vena cava without graft interposition: Considerations in preserving renal function.
The management of tumors involving or infiltrating the inferior vena cava (IVC) constitutes a great surgical challenge, since radical resection affords patients the only possibility for long-term survival. These tumors can be resected without graft interposition, provided that there is adequate collateral circulation and that the renal function can be secured. Meanwhile, ligation of the left renal vein may be possible due to the existence of collateral circulation through the adrenal and gonadal veins. We briefly present our experience on renal outflow preservation through implantation of the right renal vein into the IVC stump or through diversion of the left renal vein into the inferior mesenteric vein.
['Theodoraki|Kassiani|K|http://orcid.org/0000-0003-4890-4642', 'Kostopanagiotou|Konstantinos|K|', 'Theodosopoulos|Theodosios|T|', 'Vassiliu|Pantelis|P|', 'Kizgala|Polyxeni|P|', 'Parasyris|Stavros|S|', 'Bouzalas|Dionysios|D|', 'Arkadopoulos|Nikolaos|N|', 'Smyrniotis|Vassilios|V|']
D000005:Abdomen D000328:Adult D005260:Female D005500:Follow-Up Studies D006801:Humans D007668:Kidney D007677:Kidney Function Tests D007890:Leiomyosarcoma D008297:Male D008875:Middle Aged D012079:Renal Circulation D016896:Treatment Outcome D019043:Vascular Neoplasms D014656:Vascular Surgical Procedures D014682:Vena Cava, Inferior D055815:Young Adult
inferior vena cava renal outflow inferior vena cava tumors, renal function