In a landmark feat of surgical skill and teamwork, a multidisciplinary team at Father Muller Medical College Hospital successfully carried out a complex and high-risk cancer surgery on a 58-year-old patient diagnosed with right renal cell carcinoma with Level III IVC thrombus (a tumor extending into a major vein).
The Technical Triumph
The surgical team performed a right radical nephrectomy (removal of the affected kidney) combined with an inferior vena cava (IVC) thrombectomy to extract the tumor thrombus invading the major blood vessel. What made this procedure especially challenging:
◆Use of Total Circulatory Arrest (TCA) under deep hypothermia to momentarily stop blood circulation safely
◆Operation was executed using cardiopulmonary bypass (CPB)
◆The CPB lasted 165 minutes, with 17 minutes of TCA employed for critical thrombus removal
◆Multiple departments—urology, cardiothoracic & vascular surgery, surgical gastroenterology, and anesthesia—worked in perfect sync to ensure every aspect of the surgery went smoothly.
Patient Outcome & Aftercare
The patient responded well. He recovered without major complications, was discharged in stable condition after five days, and during the first follow-up in early October, was found to be in good health.
This success highlights Father Muller’s advanced medical capabilities and reinforces its reputation for taking on difficult cases with precision and care.
Why This Surgery Matters
◆Kidney cancers that invade the IVC are extremely risky and complex
◆Such surgeries require advanced techniques, interdisciplinary expertise, and high-stakes decision-making
◆Success in such a surgery boosts confidence in local super-specialty healthcare, reducing the need for patients to travel to faraway cities
