FIGURE 4 Removal of infrahepatic vena cava tumor thrombus.
From the following article:
Surgical management of large renal tumors
Matthew F Wszolek, Chad Wotkowicz and John A Libertino
BACK TO ARTICLE
Figure 4. Removal of infrahepatic vena cava tumor thrombus.
(A) The IVC is palpated to estimate the proximal and distal extent of the tumor, and a DeWeese clip and vessel loops are passed and secured. (B) The contralateral renal vein is also isolated. (C) A cavatomy is made and the thrombus delivered before (D) closing the IVC with a running 4-0 polypropylene suture. Abbreviation: IVC, inferior vena cava. © The Lahey Clinic. Reproduced with permission.