[HSF] Renal cell ca

Tue Jun 5 17:15:34 EDT 2007

Dear Jay .... I quite agree with your non-said concept. Though I have no
experience in such kind of procedures, yet I quite agree with the argument
of Michael, even at stage IV extension, also as supported by your
experience.

My mentor in Thoracic Surgery used to stress that debulking the tumour, even
if not affecting survival, but at least letting the patient die in dignity.
I think that motto would apply to all situations.

NFA

On 6/5/07, Jacob Lavee, MD <jaylavee at netvision.net.il> wrote:
>
> Nasser,
> My urologists colleagues who are following them up tell me that the long
> term results are very good.
>
> Jay
>
>
> ----- Original Message -----
> From: Nasser F. Abou'Seada
> To: OpenHeart-L at lists.hsforum.com
> Sent: Monday, June 04, 2007 10:47 PM
> Subject: Re: [HSF] Renal cell ca
>
>
> what about your scientific hunches and speculations ?
>
> NFA
>
>
> On 6/4/07, Jacob Lavee, MD <jaylavee at netvision.net.il> wrote:
> >
> > We are currently collecting long-term follow up data on these patients
> in
> > order to publish our technique. Stay tuned...
> >
> > Jay Lavee
> >
> > ----- Original Message -----
> > From: Nasser F. Abou'Seada
> > To: OpenHeart-L at lists.hsforum.com
> > Sent: Monday, June 04, 2007 1:30 PM
> > Subject: Re: [HSF] Renal cell ca
> >
> >
> > Interesting cases Jay, ... any follow up ?
> >
> > NFA
> >
> > On 5/31/07, Jacob Lavee, MD <jaylavee at netvision.net.il> wrote:
> > >
> > > Ed,
> > > I've done 6 such cases together with our urologists and they were all
> > > successful. In all cases we've gone on pump following initial
> abdominal
> > > preparation by the urologists and cooled the patients down to deep
> > > hypothermia. Once total circulatory arrest is initiated we've worked
> in
> > > parallel - me opening the RA and evacuating the tumor tissue from the
> > RV, RA
> > > and down the IVC as far as I could get from inside the RA, while they
> > opened
> > > the abdominal IVC and took out the rest of the tumor from below, until
> > both
> > > our fingers could meet each others from inside the IVC. The rest of
> the
> > > operation is straight forward being completed by nephrectomy. In all
> > these
> > > cases the urologists blessed me for providing them a clean and
> bloodless
> > > environment to clean the entire IVC and sometimes even into the
> iliacs.
> > >
> > > Jay Lavee
> > >
> > > From: Edward Bender
> > > To: OpenHeart-L
> > > Sent: Thursday, May 31, 2007 5:50 AM
> > > Subject: [HSF] Renal cell ca
> > >
> > >
> > > Here's tomorrow's interesting case.  60 year old insulin dependent
> > > diabetic hypertensive smoking female with hematuria.  She has a right
> > > renal cell carcinoma with tumor thrombus.  I had her cathed and she
> > > has normal coronaries.  Below are the relatively suboptimal CT scans
> > > and echo.  I've never had to go on bypass to resect one of these, but
> > > this one may be different.  There is extensive thrombus extending
> > > into the RV through the tricuspid valve.  There is retrograde
> > > thrombus into the left renal vein and the distal IVC and iliac vein.
> > > I plan on trying to pull this down from below, but will be ready to
> > > go on bypass if needed.  Any words of wisdom?  Below are selected
> > > pictures.
> > >
> > > Ed Bender, MD
> > >
> > >
> > >
> > >
> > > __________ NOD32 2299 (20070530) Information __________
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> > >
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> --
> Nasser  F.  Abou'Seada,
> MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
> FICS,FISCVS,FSSRCTS,FHMS,MESC
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-- 
Nasser  F.  Abou'Seada,
MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
FICS,FISCVS,FSSRCTS,FHMS,MESC