Radical nephrectomy and inferior vena caval thrombectomy: outcomes in a lower volume practice
John B. Calhoun, Todd D. Merchen, James A. Brown
Canadian Journal of Urology, Vol.18, No.1, pp. 5537-5541, 2011
Abstract Introduction: Surgical volume correlates with improved outcomes for some complex urologic procedures. We reviewed the outcomes of a lower volume practice (1-2 cases per year) experience with radical nephrectomy with infra/retrohepatic vena caval thrombectomy (RNCT).
Methods: We retrospectively reviewed 10 patients who underwent RNCT performed by a single surgeon at a single state institution over 7 years (2002-2009). Patient demographics, presenting symptoms, preoperative imaging, intraoperative findings, pathology, hospital course, outcomes, level of caval involvement, renal artery embolization, liver mobilization, blood loss, transfusion requirements and follow up times were recorded.
Results: Median patient BMI (n=8) was 25.7 (18.3-31.9). Eight… More >