Management of IVC Thrombus-Surgical Strategies and Outcomes.

Renal cell carcinoma is the most lethal among all urological cancers. The lethality increases with advancing stages of the disease. Renal tumors show a peculiar propensity to invade the venous system. Such invasion not only worsens the disease prognosis but also increases the surgical morbidity making treatment of such tumors challenging. Several small volume series have been published regarding management and outcomes of renal tumors with inferior vena cava (IVC) thrombus which show encouraging results when addressed properly. In this article, we review the outcomes and also describe the step-by-step approach to management of these tumors.