Surgical management of hepato-pancreatic metastasis from renal cell carcinoma

Table 1 Descriptive cohort characteristics

Patient demographics and primary disease (RCC)
Age	63 yr (range: 44-80)
Gender: male:female	7:6
Nephrectomy: right:left	6:7
Hepatic and pancreatic metastatic disease
Total cases	14
Synchronous	3 (2 liver, 1 pancreas)
Metachronous	11
Time between nephrectomy and diagnosis of metachronous disease	57 mo (range: 4-292)
Liver	29 mo (range: 4-129)
Pancreas	80 mo (range: 10-292)
Resection of metastases
Total cases	14
Hepatic resections	7
Right hepatectomy	1 (with IVC resection)
Non-anatomical hepatectomy	6 (1 with en block diaphragmatic resection)
Pancreatic resections:	7
PD	3
TP + S	2
DP + S	2
Post-operative complications	5
Hepatic resections	1
Chylous ascites	1 (managed with parenteral nutrition)
Pancreatic resections	4
Pancreatic fistula	2 (grade B)
Fluid collection	2 (managed with radiological-guided drainage and antibiotics)
Bleeding	2 (operative management)

RCC: Renal cell carcinoma; IVC: Inferior vena cava; PD: Pancreaticoduodenectomy; TP + S: Total pancreatectomy and splenectomy; DP + S: Distal pancreatectomy and splenectomy.