Angermeier K W, Ross J H, Novick A C, Pontes J E, Cosgrove D M
Department of Urology, Cleveland Clinic Foundation, Ohio 44106.
J Urol. 1990 Sep;144(3):735-9. doi: 10.1016/s0022-5347(17)39570-8.
Cardiopulmonary bypass with deep hypothermic circulatory arrest is a useful adjunct in the operative management of renal cell carcinoma associated with large vena caval thrombi. We present 2 patients with nonrenal retroperitoneal tumors and extensive vena caval thrombi who underwent successful surgical treatment with this method. The primary tumor was a leiomyosarcoma of the vena cava in 1 patient and a pheochromocytoma with hepatic invasion in 1. Cardiopulmonary bypass with deep hypothermic circulatory arrest is effective in decreasing the operative risk and improving the feasibility of resection in complex surgical cases. Consideration should be given to its use in a wider range of indicated procedures.
伴有深度低温循环停止的体外循环是肾细胞癌合并大静脉腔静脉血栓手术治疗中的一种有用辅助手段。我们报告了2例非肾性腹膜后肿瘤并广泛腔静脉血栓形成的患者，他们采用这种方法接受了成功的手术治疗。1例患者的原发肿瘤是腔静脉平滑肌肉瘤，另1例是侵犯肝脏的嗜铬细胞瘤。伴有深度低温循环停止的体外循环在降低手术风险和提高复杂手术病例的切除可行性方面是有效的。应考虑在更广泛的适应证手术中使用它。
