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腹膜后纤维瘤病扩大切除术后的血管重建

Vascular reconstruction after extended resection of a retroperitoneal fibromatosis.

作者信息

Piquet P, Delpero J R, Pol B, Houvenaeghel G, Guerinel G, Mercier C

机构信息

Hôpital de la Conception, Service de Chirurgie Vasculaire, Marseille, France.

出版信息

Surgery. 1990 Mar;107(3):346-9.

PMID:2309152
Abstract

We report the case of a 25-year-old man who underwent successful en-bloc resection of a retroperitoneal fibromatosis, extended to the right kidney and testis, with excision of the right iliac arteries and veins. Arterial replacement was done by means of a right iliofemoral prosthetic graft. A right femorocaval prosthetic graft with a temporary arteriovenous fistula was used for venous replacement. The patient is still alive and after 3 years shows no sign of recurrence on successive computed tomographic scans. He has preserved patency of the right arterial and venous iliac grafts. To our knowledge, this is the first documented case of simultaneous arterial and venous iliac replacement successfully performed after excision of a retroperitoneal tumor.

摘要

我们报告了一例25岁男性患者,其成功接受了腹膜后纤维瘤病的整块切除,该肿瘤已扩展至右肾和睾丸,并切除了右髂动静脉。动脉置换采用右髂股人工血管移植。静脉置换使用了带有临时动静脉瘘的右股腔人工血管移植。患者仍然存活,3年后的连续计算机断层扫描显示无复发迹象。其右髂动静脉移植血管保持通畅。据我们所知,这是第一例有文献记载的在切除腹膜后肿瘤后成功同时进行髂动静脉置换的病例。

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