Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/34663
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dc.contributor.authorPerini, Marcos V-
dc.contributor.authorIschia, Joseph J-
dc.contributor.authorWoon, Dixon-
dc.contributor.authorBhaskar, Jayapadman-
dc.contributor.authorStarkey, Graham M-
dc.contributor.authorQi, Sara-
dc.contributor.authorWetherell, David-
dc.contributor.authorEllard, Louise-
dc.contributor.authorMcCall, Peter R-
dc.contributor.authorMiles, Lachlan F-
dc.contributor.authorSeevanayagam, Siven-
dc.date2023-
dc.date.accessioned2024-01-02T02:01:42Z-
dc.date.available2024-01-02T02:01:42Z-
dc.date.issued2023-12-15-
dc.identifier.citationBJU International 2023-12-15en_US
dc.identifier.issn1464-410X-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/34663-
dc.description.abstractTo present the early results of a new technique for the treatment of renal cell carcinoma with intra-cardiac tumour extension and Budd-Chiari syndrome. The first stage involves transdiaphragmatic debulking of the right heart, inferior vena cava (IVC) and hepatic veins via median sternotomy, followed by a purse-string suture placed in the IVC below the hepatic veins. The second stage is performed separately and involves en bloc resection of the affected kidney, and IVC and vascular reconstruction via an abdominal incision. Three of five patients presented with clinical Budd-Chiari syndrome; two had radiological features only. The median time between surgical procedures was 12 days (IQR 13 days). Four of the five patients had a R0 resection. While all five patients successfully completed both operative stages, one patient died 22 days after the second stage. Of the remaining four, all survive with no disease recurrence. While we continue to compile longer-term data for a larger follow-up series, these preliminary findings show the feasibility of this technique and support the development of this programme of surgery.en_US
dc.language.isoeng-
dc.subjectBudd-Chiarien_US
dc.subjectdeep hypothermic circulatory arresten_US
dc.subjecthepatic veinsen_US
dc.subjectinferior vena cava graften_US
dc.subjectliver cold perfusionen_US
dc.subjectliver failureen_US
dc.subjectrenal cell carcinomaen_US
dc.subjectsurgical techniqueen_US
dc.subjectsurvivalen_US
dc.subjecttumour thrombusen_US
dc.titleA novel two-stage approach to the treatment of renal cell carcinoma with intra-cardiac tumour extension and Budd-Chiari syndrome.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleBJU Internationalen_US
dc.identifier.affiliationSurgery (University of Melbourne)en_US
dc.identifier.affiliationUrologyen_US
dc.identifier.affiliationThoracic Surgeryen_US
dc.identifier.affiliationVictorian Liver Transplant Uniten_US
dc.identifier.affiliationVascular Surgery Unit, Austin Health, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationDepartment of Critical Care, The University of Melbourne, Melbourne, Victoria, Australia.;Department of Anaesthesia, Austin Health, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationAnaesthesiaen_US
dc.identifier.doi10.1111/bju.16257en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-0165-1564en_US
dc.identifier.orcid0000-0003-2044-5560en_US
dc.identifier.pubmedid38102752-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptHepatopancreatobiliary Surgery-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptUrology-
crisitem.author.deptVictorian Liver Transplant Unit-
crisitem.author.deptUrology-
crisitem.author.deptSurgery (University of Melbourne)-
crisitem.author.deptAnaesthesia-
crisitem.author.deptAnaesthesia-
crisitem.author.deptAnaesthesia-
crisitem.author.deptEndocrinology-
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