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Finally, tumour thrombectomy, vascular reconstruction, and radical nephrectomy were performed. RESULTS Compared with the previous strategy, the modified steps resulted in a shorter median FPH clamping time (19 vs 47 min, p<0.001) and CPB time (60 vs 87 min, p<0.05), a lower rate of grade II-IV perioperative complications (25% vs 60%, p<0.05), and a better postoperative hepatorenal and coagulation function, including better median serum ALT (172.7 vs 465.4 U/l, p<0.001), AST (282.4 vs 759.8 U/l, p<0.001), Cr (113.4 vs 295 μmol/l, p<0.01