DeSouza E, Klingman R R, Peetz D, Albertucci M, Tyndall S
Creighton University, Omaha, NE.
Nebr Med J. 1991 Aug;76(8):274-7.
Surgical removal of renal cell carcinoma with extension into the inferior vena cava can be a difficult operation. Cardiopulmonary bypass and circulatory arrest have been used to assist in resection of tumors that extend into the vena cava above the level of the hepatic veins. Coronary artery disease is a common problem and may present together with renal cell tumors. A patient with left main coronary artery disease and a renal cell carcinoma extending into the vena cava provides a management challenge. We present such a case and discuss the surgical options.
手术切除侵犯下腔静脉的肾细胞癌可能是一项困难的手术。体外循环和循环停止已被用于辅助切除侵犯肝静脉水平以上下腔静脉的肿瘤。冠状动脉疾病是一个常见问题，可能与肾细胞肿瘤同时出现。一名患有左主干冠状动脉疾病且肾细胞癌侵犯下腔静脉的患者带来了治疗挑战。我们报告这样一例病例并讨论手术选择。
