Una Soluzione Economica per il Trattamento Della Trombosi Cavale Intraepatica Nell'anziano: Intrahepatic Tumour Trombectomy: An Economic Therapeutic Option in Elderly Patients

Radical excision of renal cancer with propagation into the intrahepatic and intrapericardial inferior vena cava (IVC) has become an accepted surgical approach. We present a case of left radical nephrectomy for renal cancer with IVC sovrahepatic involvement, in which we verified the possibility of approaching the intrapericardial IVC through a limited diaphragmatic incision, thereby avoiding the more invasive sternotomy. The advantages of this approach are: lesser invasiveness, simpler control of the upper extension of the thrombus and decreased blood loss.