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本文引用的文献

1
Advanced-stage renal cell carcinoma treated by radical nephrectomy and adjacent organ or structure resection.晚期肾细胞癌行根治性肾切除术及邻近器官或结构切除术治疗。
BJU Int. 2009 Jan;103(2):160-4. doi: 10.1111/j.1464-410X.2008.08025.x. Epub 2008 Sep 8.
2
[Renal cell carcinoma with liver extension: a report of a new case and literature review].[伴有肝转移的肾细胞癌：1例新病例报告及文献复习]
Actas Urol Esp. 2007 May;31(5):541-7. doi: 10.1016/s0210-4806(07)73679-3.
3
'Skipping' is still a problem with radiofrequency ablation of small renal tumours.对于小肾肿瘤的射频消融，“跳跃式”消融仍是一个问题。
BJU Int. 2007 May;99(5):998-1001. doi: 10.1111/j.1464-410X.2007.06769.x.
4
Multimodal approaches in the management of locally advanced and metastatic renal cell carcinoma: combining surgery and systemic therapies to improve patient outcome.局部晚期和转移性肾细胞癌管理中的多模式方法：联合手术与全身治疗以改善患者预后。
Clin Cancer Res. 2007 Jan 15;13(2 Pt 2):697s-702s. doi: 10.1158/1078-0432.CCR-06-2109.
5
Haemostatic partial nephrectomy using bipolar radiofrequency ablation.
BJU Int. 2005 Nov;96(7):1101-4. doi: 10.1111/j.1464-410X.2005.05743.x.
6
Treatment of renal tumors with radiofrequency ablation.射频消融治疗肾肿瘤
J Endourol. 2005 Jul-Aug;19(6):643-52; discussion 652-3. doi: 10.1089/end.2005.19.643.
7
Adjuvant treatment with interleukin-2- and interferon-alpha2a-based chemoimmunotherapy in renal cell carcinoma post tumour nephrectomy: results of a prospectively randomised trial of the German Cooperative Renal Carcinoma Chemoimmunotherapy Group (DGCIN).基于白细胞介素-2和α-干扰素2a的化学免疫疗法在肾细胞癌肿瘤肾切除术后的辅助治疗：德国肾细胞癌化学免疫疗法合作组（DGCIN）前瞻性随机试验的结果
Br J Cancer. 2005 Mar 14;92(5):843-6. doi: 10.1038/sj.bjc.6602443.
8
Surgical management of renal cell carcinoma invading into the liver: radical nephrectomy en bloc with right hepatic lateral sector.侵犯肝脏的肾细胞癌的外科治疗：根治性肾切除术联合右肝外侧叶整块切除。
Urology. 2001 May;57(5):975. doi: 10.1016/s0090-4295(01)00939-6.
9
Surgical resection for management of renal cancer with hepatic involvement.手术切除治疗伴有肝转移的肾癌。
J Urol. 1995 Sep;154(3):972-4.

使用双极射频设备对侵犯肝脏的肾细胞癌进行部分肾切除术和整块肝切除术。

Partial nephrectomy and enbloc liver resection using a bipolar radiofrequency device for renal cell carcinoma invading the liver.

作者信息

Pitchaimuthu M, Pai M, Habib N A

机构信息

HPB Surgery, Imperial College Healthcare NHS Trust, London, UK.

出版信息

BMJ Case Rep. 2010 Oct 28;2010:bcr1020092340. doi: 10.1136/bcr.10.2009.2340.

DOI:10.1136/bcr.10.2009.2340
PMID:22791734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3029602/
Abstract

A 66-year-old man presented with right- sided abdominal pain. Ultrasound, CT and MRI scans showed a right renal mass arising from the upper pole with direct involvement of the right lobe of the liver. Biopsy confirmed renal cell carcinoma. After Multi Disciplinary Team (MDT) discussion, right partial nephrectomy with enbloc resection of segments VI and VII of the liver was performed with the help of intraoperative ultrasound scan and the Habib 4X bipolar radiofrequency device. Apart from symptomatic collection, which was drained radiologically, the patient made a good recovery. The patient developed recurrence at the resection margin but is in remission following chemotherapy at 12 months.

摘要

一名66岁男性因右侧腹痛就诊。超声、CT和MRI扫描显示右肾上级有一肿块，直接累及肝右叶。活检确诊为肾细胞癌。经过多学科团队（MDT）讨论后，在术中超声扫描和Habib 4X双极射频设备的帮助下，进行了右肾部分切除术，并整块切除肝VI段和VII段。除了通过放射引流的有症状积液外，患者恢复良好。患者在切除边缘出现复发，但在12个月的化疗后病情缓解。