The perioperative management of an inferior vena caval tumor thrombus in patients with renal cell carcinoma.

Objectives: Inferior vena caval tumor thrombus (IVC-TT) occurs in 10% of patients diagnosed with renal cell carcinoma (RCC). The perioperative management of these patients remains challenging. Despite multiple publications outlining surgical approaches and outcomes there have been few studies detailing the best peri-operative management of patients with IVC-TT.

Successful outcomes of older donors in laparoscopic donor nephrectomy.

Background And Purpose: Healthy older living donors (> 50 years) are helping meet increasing demands for kidney transplantation. Live donor grafts perform better than cadaveric donor grafts; however, concern surrounds the expected nephron loss of the donors as well as the relative safety to the donor. We examined the effect age had on living laparoscopic donor and recipient outcomes at a single institution.

Fertility preservation following torsion and severe ischemic injury of a solitary testis.

Objective: To present a case of solitary testicular torsion and an adolescent faced with future hypogonadism and infertility.

Design: Case report.

Setting: University-affiliated teaching hospital.