下腔静脉平滑肌肉瘤根治性切除术后血管重建的新策略。
A novel strategy of vascular reconstruction after radical resection of an inferior vena cava leiomyosarcoma.
作者信息
Liu Yang, Sun Yan, Jiang Yue, He Xiang Yu, Kong Qian Xiang, Wu Jun Xue, Zhang Yi Shi, Jin Xing
机构信息
Department of Vascular Surgery, Provincial Hospital of Shandong University, Jinan, Shandong, China.
出版信息
Ann Vasc Surg. 2013 Aug;27(6):803.e1-5. doi: 10.1016/j.avsg.2012.10.018. Epub 2013 May 18.
BACKGROUND
Vascular reconstruction after resection of a inferior vena cava (IVC) leiomyosarcoma remains a major challenge. In this study we describe a case of successful vascular reconstruction using a novel approach.
METHODS
A patient underwent the surgical resection of an IVC tumor. The caudal stump of the IVC was then anastomosed to an 18-mm Dacron graft with bilateral 8-mm arms, which were anastomosed to the bilateral renal veins, respectively.
RESULTS
Complete resolution of abdominal pain was achieved and the patient did well throughout the 12-month follow-up. No recurrent clinical symptoms were observed. Renal function was well maintained.
CONCLUSIONS
This novel vascular reconstruction approach may be a feasible, effective surgical strategy for preservation of renal function for IVC leiomyosarcoma.
背景
下腔静脉平滑肌肉瘤切除术后的血管重建仍然是一项重大挑战。在本研究中，我们描述了一例采用新方法成功进行血管重建的病例。
方法
一名患者接受了下腔静脉肿瘤的手术切除。然后将下腔静脉的尾端残端与一个带有双侧8毫米分支的18毫米涤纶移植物进行吻合，双侧分支分别与双侧肾静脉吻合。
结果
腹痛完全缓解，患者在12个月的随访期间情况良好。未观察到复发的临床症状。肾功能得到良好维持。
结论
这种新的血管重建方法可能是一种可行、有效的手术策略，用于保留下腔静脉平滑肌肉瘤患者的肾功能。
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