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用于肾癌的扩大切口,包括累及的腔静脉和肝右叶。

Extension incision for renal carcinoma including invaded vena cava and right lobe of liver.

作者信息

Sakaguchi S, Hishiki S, Nakamura S, Koyano K, Kosaka A

机构信息

Second Department of Surgery, Hamamatsu University School, Japan.

出版信息

Urology. 1992 Mar;39(3):285-8. doi: 10.1016/0090-4295(92)90308-j.

DOI:10.1016/0090-4295(92)90308-j
PMID:1546426
Abstract

We report on a thirty-five-year-old woman with renal cell carcinoma who successfully underwent right radical nephrectomy and extended right hepatic lobectomy with resection and reconstruction of inferior vena cava (IVC). A temporary bypass was placed between the infrarenal IVC and right atrium using a heparin-coated synthetic tube. The tumor was resected en bloc including right kidney, adrenal gland, hepatic lobe, and IVC. The IVC was reconstructed using an expanded polytetrafluoroethylene (EPTFE) graft. Her postoperative course was uneventful with no signs of recurrence four years after surgery.

摘要

我们报告了一名35岁的肾细胞癌女性患者,她成功接受了右根治性肾切除术及扩大的右肝叶切除术,并对下腔静脉(IVC)进行了切除和重建。使用肝素涂层合成管在肾下IVC和右心房之间建立了临时旁路。肿瘤被整块切除,包括右肾、肾上腺、肝叶和IVC。使用膨体聚四氟乙烯(EPTFE)移植物对IVC进行了重建。她术后恢复顺利,术后四年无复发迹象。

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Extension incision for renal carcinoma including invaded vena cava and right lobe of liver.用于肾癌的扩大切口,包括累及的腔静脉和肝右叶。
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引用本文的文献

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Inferior vena cava resection with hepatectomy: challenging but justified.下腔静脉切除术联合肝切除术:具有挑战性但合理。
HPB (Oxford). 2011 Nov;13(11):802-10. doi: 10.1111/j.1477-2574.2011.00364.x. Epub 2011 Sep 16.
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Combined liver resection and reconstruction of the supra-renal vena cava: the Paul Brousse experience.联合肝脏切除术及肾上腺上腔静脉重建术:保罗·布罗斯医院的经验
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