Modified venovenous bypass technique for resection of renal and adrenal carcinomas with involvement of the inferior vena cava.


Peripheric tumours with extension into the inferior vena cava pose difficult management problems. Venovenous bypass using a centrifugal pump to decompress the inferior vena cava may be useful adjunct during vascular isolation of the tumour. We have modified the technique by adding portal decompression to avoid visceral accumulation of toxic metabolites. We… (More)


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