A novel technique for avoidance of sternotomy, diaphragmic incision and cardiopulmonary bypass during cavoatrial tumor thrombectomy for renal cell carcinoma with intraatrial tumor thrombus: a case series at a single center

Table 1 Characteristic and clinical data of 4 patients

	Patient
Variable	1	2	3	4
Age, years	52	63	75	57
Body mass index, kg/m2	26.9	27.3	25.3	21.1
Sex	Male	Female	Female	Male
ECOG performance status	1	0	1	1
TNM stage	pT3cN0M0	pT3cN0M0	pT3cN0M0	pT4N1M0
Tumor, cm	9.8	8.2	5	9
Tumor thrombus in RA, cm	3.2	3.7	4.3	0.5
Operative time, minutes	180	160	220	250
Contorl of porta hepatis, minutes	28	14	20	30
Estimated blood loss, ml	200	300	350	800
Blood transfusion, units	0	0	0	6
ICU stay	1	2	2	1
Day to surgical drain removed	3	4	4	4
Postoperative complications			Lymphatic leakage	Pleural effusion, pulmonary infection
Postoperative serum Creatinine, µmol/L	79	48	105	74
Postoperative serum ALT, u/L	77	109	68	26
Postoperative serum AST, u/L	99	163	90	35
Postoperative hospitalization	7	7	8	8
Pathology	ccRCC	ccRCC	ccRCC	ccRCC
WHO/ISUP grade	2	2	3	3
Survival state	Alive	Alive	Alive	Alive
Survival time, months	36	13	12	5

ALT, alanine aminotransferase; AST, aspartate aminotransferase; ccRCC, clear cell renal cell carcinoma; ECOG, Eastern Cooperative Oncology Group; ICU, intensive care unit; WHO, World Health Organization; ISUP, International Society of Urological Pathology; RA, right atrium; TNM, tumor nodes metastasis staging system.

ISSN: 1471-2482