{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:27:29Z","timestamp":1783056449059,"version":"3.54.6"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T00:00:00Z","timestamp":1703548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2024,4]]},"abstract":"\n Objective<\/jats:title>\n To present the early results of a new technique for the treatment of renal cell carcinoma with intra\u2010cardiac tumour extension and Budd\u2013Chiari syndrome.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n The first stage involves transdiaphragmatic debulking of the right heart, inferior vena cava (IVC) and hepatic veins via median sternotomy, followed by a purse\u2010string suture placed in the IVC below the hepatic veins. The second stage is performed separately and involves\n en bloc<\/jats:italic>\n resection of the affected kidney, and IVC and vascular reconstruction via an abdominal incision.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Three of five patients presented with clinical Budd\u2013Chiari syndrome; two had radiological features only. The median time between surgical procedures was 12\u2009days (IQR 13 days). Four of the five patients had a R0 resection. While all five patients successfully completed both operative stages, one patient died 22\u2009days after the second stage. Of the remaining four, all survive with no disease recurrence.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n While we continue to compile longer\u2010term data for a larger follow\u2010up series, these preliminary findings show the feasibility of this technique and support the development of this programme of surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.16257","type":"journal-article","created":{"date-parts":[[2023,12,16]],"date-time":"2023-12-16T00:10:16Z","timestamp":1702685416000},"page":"480-486","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A novel two\u2010stage approach to the treatment of renal cell carcinoma with intra\u2010cardiac tumour extension and Budd\u2013Chiari syndrome"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0165-1564","authenticated-orcid":false,"given":"Marcos V.","family":"Perini","sequence":"first","affiliation":[{"name":"Department of Surgery (Austin Health) The University of Melbourne Melbourne Victoria Australia"},{"name":"Victorian Liver Transplant Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Ischia","sequence":"additional","affiliation":[{"name":"Department of Surgery (Austin Health) The University of Melbourne Melbourne Victoria Australia"},{"name":"Urology Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dixon","family":"Woon","sequence":"additional","affiliation":[{"name":"Urology Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayapadman","family":"Bhaskar","sequence":"additional","affiliation":[{"name":"Brian F. Buxton Cardiac and Thoracic Aortic Surgery Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Starkey","sequence":"additional","affiliation":[{"name":"Victorian Liver Transplant Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Qi","sequence":"additional","affiliation":[{"name":"Vascular Surgery Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Wetherell","sequence":"additional","affiliation":[{"name":"Urology Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Ellard","sequence":"additional","affiliation":[{"name":"Department of Critical Care The University of Melbourne Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"McCall","sequence":"additional","affiliation":[{"name":"Department of Critical Care The University of Melbourne Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2044-5560","authenticated-orcid":false,"given":"Lachlan F.","family":"Miles","sequence":"additional","affiliation":[{"name":"Department of Critical Care The University of Melbourne Melbourne Victoria Australia"},{"name":"Department of Anaesthesia Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siven","family":"Seevanayagam","sequence":"additional","affiliation":[{"name":"Brian F. Buxton Cardiac and Thoracic Aortic Surgery Unit Austin Health Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.04897.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-021-01036-y"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.08.019"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(02)00434-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/ejso.1998.0603"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20939"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr4724"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0168"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.7"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0b013e328305ba06"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.07.028"},{"key":"e_1_2_8_13_1","first-page":"695","article-title":"Fiberoptic examination of the inferior vena cava during circulatory arrest for complete removal of renal cell carcinoma thrombus","volume":"107","author":"Hartman AR","year":"1990","journal-title":"Surgery"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.16257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T10:58:08Z","timestamp":1761735488000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.16257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,26]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/bju.16257"],"URL":"https:\/\/doi.org\/10.1111\/bju.16257","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,26]]},"assertion":[{"value":"2023-12-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}