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针对伴有左肾静脉肿瘤血栓形成的左侧大肾上腺皮质肿物的手术入路:保留同侧肾脏。

Surgical approach to a large left adrenocortical mass with associated tumour thrombosis of the left renal vein: preservation of the ipsilateral kidney.

作者信息

Pérez Utrilla Manuel, Nuñez Mora Carlos, Rojo Sebastián Alejandro, Cabrera Castillo Pedro M, García Mediero José M

机构信息

Urology Department, MD Anderson International Spain, Hospital General Ciudad Real, 28050 Madrid, Spain. manuelperez

出版信息

Adv Urol. 2009;2009:365805. doi: 10.1155/2009/365805. Epub 2009 Dec 13.

DOI:10.1155/2009/365805
PMID:20029641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2796225/
Abstract

A sixty-years-old male with diagnosis of a left adrenal mass (146 x 99 x 126 mm) with associated tumour thrombosis of the left renal vein with no clear signs of thrombosis of the inferior vena cava was admitted for elective surgery Finally an adrenalectomy and excision of tumour thrombus preserving the ipsilateral kidney was made. Despite of the complex vascular management, this kind of approaches allow to preserve normal renal function in patients with future nephrotoxic treatment like cisplatin.

摘要

一名60岁男性,诊断为左肾上腺肿块(146×99×126毫米),伴有左肾静脉肿瘤血栓形成,下腔静脉无明显血栓形成迹象,因择期手术入院。最终进行了肾上腺切除术和肿瘤血栓切除术,保留了同侧肾脏。尽管血管管理复杂,但这种方法能够在患者未来接受顺铂等肾毒性治疗时保留正常肾功能。

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Adv Urol. 2009;2009:365805. doi: 10.1155/2009/365805. Epub 2009 Dec 13.
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本文引用的文献

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Adrenocortical carcinoma extending into the inferior vena cava: presentation of a 15-patient series and review of the literature.肾上腺皮质癌侵犯下腔静脉:15例病例系列报告及文献复习
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Surgery for adrenal tumours with thrombus in the supra-diaphragmatic infra-atrial inferior vena cava, with no cardiopulmonary bypass.
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