Una Soluzione Economica per il Trattamento Della Trombosi Cavale Intraepatica Nell'anziano: Intrahepatic Tumour Trombectomy: An Economic Therapeutic Option in Elderly Patients

Abstract

Radical excision of renal cancer with propagation into the intrahepatic and intrapericardial inferior vena cava (IVC) has become an accepted surgical approach. We present a case of left radical nephrectomy for renal cancer with IVC sovrahepatic involvement, in which we verified the possibility of approaching the intrapericardial IVC through a limited diaphragmatic incision, thereby avoiding the more invasive sternotomy. The advantages of this approach are: lesser invasiveness, simpler control of the upper extension of the thrombus and decreased blood loss.