在因平滑肌肉瘤行腔静脉切除术后使用新鲜同种异体下腔静脉进行下腔静脉重建：中期结果

Inferior vena cava reconstruction using fresh inferior vena cava allograft following caval resection for leiomyosarcoma: midterm results.

作者信息

Guerrero Marlon A, Cross Chadrick A, Lin Peter H, Keane Thomas E, Lumsden Alan B

机构信息

Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Hospital, 2002 Holcomb Boulevard, Houston, TX 77030, USA.

出版信息

J Vasc Surg. 2007 Jul;46(1):140-3. doi: 10.1016/j.jvs.2007.02.043.

DOI:10.1016/j.jvs.2007.02.043

PMID:17606132

Abstract

We present a 56-year-old woman affected by a large leiomyosarcoma originating from the suprarenal inferior vena cava (IVC). A computed tomography (CT) scan revealed near obstruction of the IVC and involvement of the right renal vein. The patient underwent successful en bloc resection of the tumor, right kidney, right adrenal gland, and IVC. Caval reconstruction was performed using a non-type specific allograft, followed by left renal vein re-implantation. The patient tolerated the procedure well without any complications. The use of an IVC allograft allowed for continued graft patency, without the need of immunosuppression or long-term anticoagulation. However, local recurrence did occur.

摘要

我们报告一名56岁女性，患有起源于肾上腺下腔静脉（IVC）的巨大平滑肌肉瘤。计算机断层扫描（CT）显示下腔静脉近乎梗阻且右肾静脉受累。患者接受了肿瘤、右肾、右肾上腺和下腔静脉的整块切除术。使用非特定类型的同种异体移植物进行腔静脉重建，随后进行左肾静脉再植入。患者对手术耐受良好，无任何并发症。使用下腔静脉同种异体移植物可使移植物持续通畅，无需免疫抑制或长期抗凝。然而，局部复发确实发生了。