Fujisaki M, Kurihara E, Kikuchi K, Nishikawa K, Uematsu Y
Department of Surgery, Ashikaga Red Cross Hospital, Japan.
Surgery. 1991 Feb;109(2):214-9.
Hepatocellular carcinoma with a tumor thrombus extending into the right atrium has been considered beyond the reach of resection. These patients usually die within a short period because of pulmonary embolism, heart failure, or cancer progression. The only treatment is hepatic resection with removal of the tumor thrombus. A 38-year-old woman underwent left lobectomy with removal of the tumor thrombus with the use of cardiopulmonary bypass. The patient had an uneventful course and is doing well 15 months after surgery, without signs of recurrence. We have proved that hepatic resection with removal of a tumor thrombus extending into the right atrium can be carried out successfully. The next problem is whether the lives of these patients can be prolonged by this operation.
肿瘤血栓延伸至右心房的肝细胞癌一直被认为无法切除。这些患者通常会因肺栓塞、心力衰竭或癌症进展在短期内死亡。唯一的治疗方法是肝切除并清除肿瘤血栓。一名38岁女性接受了左叶切除术，并在体外循环辅助下清除了肿瘤血栓。患者术后恢复顺利，术后15个月情况良好，无复发迹象。我们已经证明，切除延伸至右心房的肿瘤血栓的肝切除术可以成功实施。下一个问题是这种手术能否延长这些患者的生命。
