A surgical approach to Wilms’ tumour with retrohepatic vena caval extension

Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK chi...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Bader, Mohammad I. [verfasserIn] Abdelaal, Khaled [verfasserIn] Rogers, Timothy [verfasserIn] Arul, Suren G. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Wilms’ tumour Intracaval Retrocaval Tumour thrombus

Übergeordnetes Werk:	Enthalten in: Pediatric surgery international - Berlin : Springer, 1986, 29(2013), 3 vom: 24. Jan., Seite 229-232
Übergeordnetes Werk:	volume:29 ; year:2013 ; number:3 ; day:24 ; month:01 ; pages:229-232

Links:	Volltext

DOI / URN:	10.1007/s00383-013-3263-2

Katalog-ID:	SPR004720083

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245	1	2	\|a A surgical approach to Wilms’ tumour with retrohepatic vena caval extension
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520			\|a Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection.
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700	1		\|a Arul, Suren G. \|e verfasserin \|4 aut
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author_variant	m i b mi mib k a ka t r tr s g a sg sga
matchkey_str	article:14379813:2013----::sriaapoctwlsuoriherhptce
hierarchy_sort_str	2013
bklnumber	44.65 44.67
publishDate	2013
allfields	10.1007/s00383-013-3263-2 doi (DE-627)SPR004720083 (SPR)s00383-013-3263-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Bader, Mohammad I. verfasserin aut A surgical approach to Wilms’ tumour with retrohepatic vena caval extension 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection. Wilms’ tumour (dpeaa)DE-He213 Intracaval (dpeaa)DE-He213 Retrocaval (dpeaa)DE-He213 Tumour thrombus (dpeaa)DE-He213 Abdelaal, Khaled verfasserin aut Rogers, Timothy verfasserin aut Arul, Suren G. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 29(2013), 3 vom: 24. Jan., Seite 229-232 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:29 year:2013 number:3 day:24 month:01 pages:229-232 https://dx.doi.org/10.1007/s00383-013-3263-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 29 2013 3 24 01 229-232
spelling	10.1007/s00383-013-3263-2 doi (DE-627)SPR004720083 (SPR)s00383-013-3263-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Bader, Mohammad I. verfasserin aut A surgical approach to Wilms’ tumour with retrohepatic vena caval extension 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection. Wilms’ tumour (dpeaa)DE-He213 Intracaval (dpeaa)DE-He213 Retrocaval (dpeaa)DE-He213 Tumour thrombus (dpeaa)DE-He213 Abdelaal, Khaled verfasserin aut Rogers, Timothy verfasserin aut Arul, Suren G. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 29(2013), 3 vom: 24. Jan., Seite 229-232 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:29 year:2013 number:3 day:24 month:01 pages:229-232 https://dx.doi.org/10.1007/s00383-013-3263-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 29 2013 3 24 01 229-232
allfields_unstemmed	10.1007/s00383-013-3263-2 doi (DE-627)SPR004720083 (SPR)s00383-013-3263-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Bader, Mohammad I. verfasserin aut A surgical approach to Wilms’ tumour with retrohepatic vena caval extension 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection. Wilms’ tumour (dpeaa)DE-He213 Intracaval (dpeaa)DE-He213 Retrocaval (dpeaa)DE-He213 Tumour thrombus (dpeaa)DE-He213 Abdelaal, Khaled verfasserin aut Rogers, Timothy verfasserin aut Arul, Suren G. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 29(2013), 3 vom: 24. Jan., Seite 229-232 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:29 year:2013 number:3 day:24 month:01 pages:229-232 https://dx.doi.org/10.1007/s00383-013-3263-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 29 2013 3 24 01 229-232
allfieldsGer	10.1007/s00383-013-3263-2 doi (DE-627)SPR004720083 (SPR)s00383-013-3263-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Bader, Mohammad I. verfasserin aut A surgical approach to Wilms’ tumour with retrohepatic vena caval extension 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection. Wilms’ tumour (dpeaa)DE-He213 Intracaval (dpeaa)DE-He213 Retrocaval (dpeaa)DE-He213 Tumour thrombus (dpeaa)DE-He213 Abdelaal, Khaled verfasserin aut Rogers, Timothy verfasserin aut Arul, Suren G. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 29(2013), 3 vom: 24. Jan., Seite 229-232 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:29 year:2013 number:3 day:24 month:01 pages:229-232 https://dx.doi.org/10.1007/s00383-013-3263-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 29 2013 3 24 01 229-232
allfieldsSound	10.1007/s00383-013-3263-2 doi (DE-627)SPR004720083 (SPR)s00383-013-3263-2-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Bader, Mohammad I. verfasserin aut A surgical approach to Wilms’ tumour with retrohepatic vena caval extension 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection. Wilms’ tumour (dpeaa)DE-He213 Intracaval (dpeaa)DE-He213 Retrocaval (dpeaa)DE-He213 Tumour thrombus (dpeaa)DE-He213 Abdelaal, Khaled verfasserin aut Rogers, Timothy verfasserin aut Arul, Suren G. verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 29(2013), 3 vom: 24. Jan., Seite 229-232 (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:29 year:2013 number:3 day:24 month:01 pages:229-232 https://dx.doi.org/10.1007/s00383-013-3263-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 29 2013 3 24 01 229-232
language	English
source	Enthalten in Pediatric surgery international 29(2013), 3 vom: 24. Jan., Seite 229-232 volume:29 year:2013 number:3 day:24 month:01 pages:229-232
sourceStr	Enthalten in Pediatric surgery international 29(2013), 3 vom: 24. Jan., Seite 229-232 volume:29 year:2013 number:3 day:24 month:01 pages:229-232
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Wilms’ tumour Intracaval Retrocaval Tumour thrombus
dewey-raw	610
isfreeaccess_bool	false
container_title	Pediatric surgery international
authorswithroles_txt_mv	Bader, Mohammad I. @@aut@@ Abdelaal, Khaled @@aut@@ Rogers, Timothy @@aut@@ Arul, Suren G. @@aut@@
publishDateDaySort_date	2013-01-24T00:00:00Z
hierarchy_top_id	254638937
dewey-sort	3610
id	SPR004720083
language_de	englisch
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We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. 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author	Bader, Mohammad I.
spellingShingle	Bader, Mohammad I. ddc 610 bkl 44.65 bkl 44.67 misc Wilms’ tumour misc Intracaval misc Retrocaval misc Tumour thrombus A surgical approach to Wilms’ tumour with retrohepatic vena caval extension
authorStr	Bader, Mohammad I.
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topic_title	610 ASE 44.65 bkl 44.67 bkl A surgical approach to Wilms’ tumour with retrohepatic vena caval extension Wilms’ tumour (dpeaa)DE-He213 Intracaval (dpeaa)DE-He213 Retrocaval (dpeaa)DE-He213 Tumour thrombus (dpeaa)DE-He213
topic	ddc 610 bkl 44.65 bkl 44.67 misc Wilms’ tumour misc Intracaval misc Retrocaval misc Tumour thrombus
topic_unstemmed	ddc 610 bkl 44.65 bkl 44.67 misc Wilms’ tumour misc Intracaval misc Retrocaval misc Tumour thrombus
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title	A surgical approach to Wilms’ tumour with retrohepatic vena caval extension
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title_full	A surgical approach to Wilms’ tumour with retrohepatic vena caval extension
author_sort	Bader, Mohammad I.
journal	Pediatric surgery international
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author_browse	Bader, Mohammad I. Abdelaal, Khaled Rogers, Timothy Arul, Suren G.
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title_sort	surgical approach to wilms’ tumour with retrohepatic vena caval extension
title_auth	A surgical approach to Wilms’ tumour with retrohepatic vena caval extension
abstract	Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection.
abstractGer	Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection.
abstract_unstemmed	Purpose Wilms’ tumours (WT) with retrohepatic vascular extension traditionally requires cardiac bypass for complete excision. We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. The tumour was always adherent to IVC and required sharp dissection.
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title_short	A surgical approach to Wilms’ tumour with retrohepatic vena caval extension
url	https://dx.doi.org/10.1007/s00383-013-3263-2
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author2	Abdelaal, Khaled Rogers, Timothy Arul, Suren G.
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up_date	2024-07-04T02:20:02.484Z
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We share our experience of these complex cases. Methods A retrospective review was performed of children with WT with retrohepatic vascular extension presenting to two UK children’s hospitals. Tumour stage, chemotherapy, level of vascular extension, operative details and complication data were analysed. Results Ten children were identified. Mean age 6.6 years (range 3.3–8.2 years); tumour side 6 right, 2 left, 2 bilateral. Level of tumour extension was to the right atrium in two, diaphragm in two, hepatic vein (HV) level in four and retrohepatic inferior vena cava (IVC) in one patient. Following chemotherapy it reduced to hepatic veins (5) or below (4). Surgery involved radical nephrectomy and complete mobilisation of the liver off the IVC, which was then clamped, opened and the thrombus excised. There were no intraoperative complications. Mean hospital stay was 9.77 days (7–20 days). Histology showed viable tumour thrombus in six patients. One patient died after 1 year from metastatic disease. Conclusion Retrohepatic extension of WT can be managed without bypass using pre-operative chemotherapy and by complete liver mobilisation. 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A surgical approach to Wilms’ tumour with retrohepatic vena caval extension

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