Radical nephrectomy with inferior vena cava tumor thrombectomy in Mayo III–IV renal cell carcinoma: a retrospective single-center study
Radical nephrectomy with IVC thrombectomy in patients with advanced tumor thrombus can be performed safely with good long-term outcomes in selected cases. Careful preoperative imaging, intraoperative echocardiography, and the selective use of CPB are key to minimizing risks. These findings support a tailored surgical approach based on thrombus level and clinical condition. Further prospective studies are needed to refine surgical indications and clarify the role of systemic therapy.
Authors
- Pavel A. Drozdov (ORCID: https://orcid.org/0000-0001-8016-1610)
- Е. И. Велиев
- А. А. Карпов (ORCID: https://orcid.org/0000-0002-5142-1302)
- Andrey Bogdanov (ORCID: https://orcid.org/0000-0002-8215-0445)
- D. I. Levikov (ORCID: https://orcid.org/0000-0002-3614-6971)
- Shabunin Av (ORCID: https://orcid.org/0000-0002-4230-8033)
- Dmitry Grekov
- Z. A. Bagatelia
- I. A. Glushenko
- Yuri Karabach
Institutions
- Clinical Hospital No. 8 (RU)
- Scientific Center of Children's Health (RU)
Publication Details
- Journal
- Frontiers in Surgery
- Published
- 2025-11-13
- DOI
- https://doi.org/10.3389/fsurg.2025.1644948
- Citations
- 1
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 1.52