根治性肾切除术联合下腔静脉瘤栓取出术治疗复发性腔静脉瘤栓性肾细胞癌
Novel approach to recurrent cavoatrial renal cell carcinoma.
机构信息
Division of Cardiac Surgery, Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
出版信息
Ann Thorac Surg. 2012 May;93(5):e119-21. doi: 10.1016/j.athoracsur.2011.12.040.
Abstract
Renal cell carcinoma (RCC) with cavoatrial extension is a rare and complex problem. Complete resection is difficult but correlates with favorable patient outcomes. We present 2 cases of successful reoperative resections of recurrent RCC in patients with level III-IV cavoatrial involvement. We used a thoracoabdominal approach, peripheral cannulation, and hypothermic circulatory arrest. We advocate this novel approach as a successful means of avoiding a more difficult reoperation.
摘要
肾细胞癌（RCC）伴腔静脉延伸是一种罕见且复杂的问题。完全切除很困难，但与患者预后良好相关。我们报告了 2 例复发性 RCC 患者在腔静脉 III-IV 级累及情况下成功接受再次手术切除的病例。我们采用了胸腹联合入路、外周插管和低温循环停止。我们主张这种新方法是避免更困难的再次手术的成功手段。
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