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Intraoperative transesophageal sonographic monitoring of tumor thrombus in the inferior vena cava during radical nephrectomy and thrombectomy for renal cell carcinoma

Intraoperative transesophageal sonographic monitoring of tumor thrombus in the inferior vena cava... We report the case of a 58‐year‐old woman with renal cell carcinoma in whom real‐time transesophageal sonographic monitoring of the tumor thrombus in the inferior vena cava provided dynamic information, allowing us to determine the appropriate operative procedure to use. Observation of the thrombus throughout the operation showed that mobilization of the liver resulted in compression of the inferior vena cava against the spine, increasing the risk of migration of the tumor thrombus and reinforcing the need to maintain adequate positioning of the liver to prevent such compression. The surgery was completed successfully, and the patient's postoperative course was uneventful. We recommend the use of real‐time transesophageal sonographic monitoring of the tumor thrombus during such surgical procedures. © 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:274–277, 2003 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Intraoperative transesophageal sonographic monitoring of tumor thrombus in the inferior vena cava during radical nephrectomy and thrombectomy for renal cell carcinoma

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References (7)

Publisher
Wiley
Copyright
Copyright © 2003 Wiley Periodicals, Inc.
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.10165
pmid
12767022
Publisher site
See Article on Publisher Site

Abstract

We report the case of a 58‐year‐old woman with renal cell carcinoma in whom real‐time transesophageal sonographic monitoring of the tumor thrombus in the inferior vena cava provided dynamic information, allowing us to determine the appropriate operative procedure to use. Observation of the thrombus throughout the operation showed that mobilization of the liver resulted in compression of the inferior vena cava against the spine, increasing the risk of migration of the tumor thrombus and reinforcing the need to maintain adequate positioning of the liver to prevent such compression. The surgery was completed successfully, and the patient's postoperative course was uneventful. We recommend the use of real‐time transesophageal sonographic monitoring of the tumor thrombus during such surgical procedures. © 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:274–277, 2003

Journal

Journal of Clinical UltrasoundWiley

Published: Jun 1, 2003

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