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dc.contributor.author Sinescu, I.
dc.contributor.author Gluck, G.
dc.contributor.author Hârza, M.
dc.contributor.author Gîngu, C.
dc.contributor.author Chibelean, C.
dc.contributor.author Şerbănescu, B.
dc.contributor.author Munteanu, M.
dc.date.accessioned 2022-04-21T11:25:00Z
dc.date.available 2022-04-21T11:25:00Z
dc.date.issued 2002
dc.identifier.citation SINESCU, I., GLUCK, G., HÂRZA, M., et al. Extension - surgical technique. In: Dializa și Transplant Renal din Republica Moldova: conferința 3-a de Urologie, conferința 2-a de Nefrologie: culegere de lucrări. Chișinău, 2002, pp. 83-84.
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/20444
dc.description.abstract Introduction: Surgical technique for left renal cell carcinoma with infradiaphragmatic caval extension is presented. Technique: A transperitoneal bilateral subcostal approach was used. After left colon reflection, the renal artery is ligated and divided, the left renal vein is dissected on. The right colon reflection is perform ed, the right renal vein and vena cava is dissected. Satinsky clamp is placed on infrarenal vena cava, a bulldog clamp is placed on the right renal vein and a Satinsky clamp is placed on vena cava above the thrombus. Circular incision on vena cava at the level of left renal vein is performed and en block perifascial nephrectomy including the thrombus is done. The vena cava incision is repaired with a continuos 4-0 vascular suture. Extensive lymph node dissection is performed. Conclusions: Out of more than 1305 RCC operated in our Department between 1975 - 2000, 142 cases have had caval extension. Using appropriate surgical technique, the patient's survival is almost similar to those without caval extension. en_US
dc.language.iso en en_US
dc.publisher Societatea Urologilor din Republica Moldova en_US
dc.relation.ispartof Culegere de lucrări Conferința 3-a de Urologie, Conferința 2-a de Nefrologie: Dializa și Transplant Renal din Republica Moldova (30 - 31 octombie 2002) en_US
dc.title Extension - surgical technique en_US
dc.type Other en_US


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