Thoracic and Vascular Surgery Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Ann Thorac Surg. 2011 Mar;91(3):941-3. doi: 10.1016/j.athoracsur.2010.07.048.
We report 4 patients with stage IVA thymic tumors who underwent extrapleural pneumonectomy and thymectomy with venous confluence resection using a temporary percutaneous venous jugular-femoral bypass technique. The superior vena cava was replaced in 2 patients, and the innominate vein was resected in 2 patients. Complete tumor resection was obtained in all patients. There was no 90-day postoperative mortality. One patient died at 6 months postoperatively of an unrelated cause, without recurrent disease, and 3 are alive and disease-free with a follow-up ranging from 19 to 80 months. Extrapleural pneumonectomy can be combined with thymectomy and venous confluence resection for stage IVA thymic tumors.
我们报告了 4 例接受了胸壁外全肺切除术和胸腺切除术以及静脉汇合切除的 IVA 期胸腺瘤患者，使用了临时经皮颈内静脉-股静脉旁路技术。2 例患者进行了上腔静脉置换，2 例患者进行了无名静脉切除术。所有患者均获得了完全的肿瘤切除。无 90 天术后死亡。1 例患者术后 6 个月因无关原因死亡，无疾病复发，3 例患者存活且无疾病，随访时间为 19 至 80 个月。胸壁外全肺切除术可以与胸腺切除术和静脉汇合切除联合应用于 IVA 期胸腺瘤。
