R. B. Nerli ,Priyeshkumar Patel,Shridhar C. Ghagane ,Shashank Patil,Adarsh Sanikop,Shoubhik Chandra, Renal Cell Carcinoma with Level II Inferior Vena Cava Thrombi: Operative Steps Surgical Case Reports 2021 2613-5965 http://dx.doi.org/10.31487/j.SCR.2021.03.12 https://www.sciencerepository.org/renal-cell-carcinoma-with-level-ii-inferior-vena-cava-thrombi_SCR-2021-3-112 Abstract: The incidence of venous tumor thrombi extension to the inferior vena cava (IVC) in renal cell carcinoma (RCC) has markedly increased recently due to the advances in diagnostic modalities. Such vascular invasion implies a heightened biologic behaviour and a surgical challenge during the course of treatment. Several studies have examined the prognostic significance of the level of venous extension. It has been suggested recently that long-term survival may be significantly better in patients with renal vein involvement than IVC involvement. We describe the operative steps in the treatment of level II IVC thrombus in this report.Keywords: Renal cell carcinoma, inferior vena cava thrombus, magnetic resonance imaging