Karnes R Jeffrey, Blute Michael L
Department of Urology, Mayo Clinic, Rochester, MN 55905, USA.
Nat Clin Pract Urol. 2008 Jun;5(6):329-39. doi: 10.1038/ncpuro1122. Epub 2008 May 13.
Renal cell carcinoma with inferior vena cava thrombus can be a diagnostic and therapeutic challenge; however, the surgical resection of these tumors can be facilitated by appropriate preoperative imaging and planning. First and foremost, we believe that this procedure should be considered an operation on the inferior vena cava rather than on the kidney. The level and extent of the tumor thrombus dictates the surgical approach used. Although the patient should be given an appropriate explanation of the procedure and its risks, the surgeon needs to be adequately prepared and have intraoperative versatility in order to maintain the safety of this operation. In this Review, we describe our approach to surgical resection in patients who have renal cell carcinoma with inferior vena cava thrombus, and outcomes for the management of patients with this disorder.
伴有下腔静脉血栓的肾细胞癌在诊断和治疗上颇具挑战；然而，恰当的术前影像学检查和规划有助于这类肿瘤的手术切除。首先也是最重要的一点，我们认为该手术应被视为针对下腔静脉而非肾脏的手术。肿瘤血栓的位置和范围决定了所采用的手术方式。尽管应向患者充分解释手术过程及其风险，但外科医生需做好充分准备并具备术中应变能力，以确保手术安全。在本综述中，我们描述了对伴有下腔静脉血栓的肾细胞癌患者进行手术切除的方法以及该疾病患者的治疗结果。
