In this video we can see a liver transplantation techniques for the surgical management of renal cell carcinoma with thrombus in the inferior vena cava: step by step description. Renal cell carcinoma (RCC) with tumor thrombus in the inferior vena cava (IVC) poses a challenge to the surgeon given the operative difficulty, potential for massive hemorrhage, and possibility of tumor thromboemboli. This surgical approach provides excellent exposure and control of the IVC in cases with level 3 and 4 tumor thrombus, avoiding cardiopulmonary bypass (CPB) except in rare circumstances.
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