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№3' 2013

SURGERY

International Medical Journal, Vol. 19., Iss. 3, 2013, P. 78−83.

URGENT QUESTIONS OF TECHNIQUE OF VENOCAVOTHROMBECTOMY AT RENAL TUMORS

Kharkiv National Medical University

Abstract. The literature on the urgent questions of surgical removal of tumor thrombi of the inferior vena cava, i.e. approach to the right atrium through the diaphragm from the abdominal cavity, liver mobilization and causes of hemorrhage from the isolated segment of the inferior vena cava at thrombectomy, is reviewed. A considerable progress in surgical technique of venocavothrombectomy, primarily in development of extraction methods of high tumor thrombi without the use of artificial circulation, is emphasized. It is shown that this surgical protocol requires further improvement by means of investigation of the anatomy of the cavoatrial segment of the inferior vena cava, liver and lumbar veins.

Key words: tumor thrombus, inferior vena cava, venocavothrombectomy, liver mobilization, lumbar veins.