Intrahepatic tumor thrombectomy through an abdominal diaphragmatic approach

Radical excision of renal cancer with propagation into the intrahepatic and intrapericardial inferior vena cava is an accepted surgical procedure.1.2 In a case of renal cancer with inferior vena caval suprahepatic involvement we verified the possibility of approaching the intrapericardial inferior vena cava through a limited diaphragmatic incision.