ABSTRACT
Two patients with renal cell carcinoma invading the inferior vena cava to the level of the right atrium underwent complete excision of their renal tumours. Clearance of the caval extension was accomplished using cardiopulmonary bypass, profound hypothermia and circulatory arrest. The use of these techniques visually improved the operative field without extending operating time. Profound hypothermia and circulatory arrest do not increase postoperative morbidity or mortality and offer the best opportunity for cure.
Subject(s)
Carcinoma, Renal Cell/surgery , Heart Arrest, Induced , Kidney Neoplasms/surgery , Vena Cava, Inferior/pathology , Aged , Carcinoma, Renal Cell/pathology , Female , Humans , Hypothermia, Induced , Kidney Neoplasms/pathology , Neoplasm InvasivenessABSTRACT
The child with enuresis is a common problem facing the urologist. We have done a retrospective study of 182 enuretic children seen at our Clinic from January, 1970, to December, 1975. There was a 10.4-per cent incidence of vesicoureteral reflux. In only 58 per cent of the children with reflux were positive urine cultures demonstrated. There were no significant complications in studying these children under general anesthesia. Therefore, we believe an aggressive approach is justified.
