A new surgical technique to treat retroperitoneal tumors with supradia
phragmatic vena caval invasion is described. In this technique, hepati
c warm ischemia can be avoided with reversed hepatic outflow through t
he portal vein and neither hypothermic circulatory arrest nor cardiopu
lmonary bypass is necessary using centrifugal blood pump-driven bypass
. (C) 1997, Elsevier Science Inc.