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.
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.
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。
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