Abstract
Basedon the extent of IVC involvement, these tumours areclassified as level I (infrahepatic IVC), level II (retrohe-patic IVC to hepatic veins), and level III (right atrium). Thesurgical approach varies for each level. Level I and IItumours are commonly resected through a laparotomy,with an infrahepatic or suprahepatic IVC clamp with orwithout liver mobilization. Level III tumours require amultidisciplinary surgical approach that involves cardiacand hepatobiliary surgeons in order to gain access to theproximal IVC. Cardiopulmonary bypass standby is oftenmade available for these cases. Tumour disruption andpulmonary embolization is a rare but well-recognizedcomplication that occurs in up to 5.4% of resections ofrenal cell carcinoma with IVC involvement.
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Schedule a callMore From: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
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