Vascular control for resection of suprahepatic intracaval Wilms' tumor: technical considerations.

Journal Article (Journal Article)

The surgical resection of Wilms' tumor can be complicated by tumor thrombus extension into the inferior vena cava. In cases of suprahepatic Wilms' tumor thrombus that may extend into the right atrium, a median sternotomy and cardiopulmonary bypass (CPB) are used to facilitate tumor resection. However, if the tumor can be localized and controlled below the atrium, resection without the use of cardiopulmonary bypass may limit morbidity. The authors describe a novel approach to tumor thrombectomy for a Wilms' tumor extending to the suprahepatic vena cava without the use of CPB. The authors used transesophageal echocardiography to localize the tumor thrombus and detect any tumor or air embolization and a minimal lower sternotomy to obtain intrapericardial control of the inferior vena cava. This technique may be useful in selected cases of Wilms' tumor as an alternative to median sternotomy and use of cardiopulmonary bypass.

Full Text

Duke Authors

Cited Authors

  • Lodge, AJ; Jaggers, J; Adams, D; Rice, HE

Published Date

  • December 2000

Published In

Volume / Issue

  • 35 / 12

Start / End Page

  • 1836 - 1837

PubMed ID

  • 11101750

International Standard Serial Number (ISSN)

  • 0022-3468

Digital Object Identifier (DOI)

  • 10.1053/jpsu.2000.19285

Language

  • eng

Conference Location

  • United States