采用新型腹膜后联合经腹腔纯腹腔镜手术治疗肝下下腔静脉肿瘤栓的肾细胞癌。
Renal cell carcinoma with infrahepatic vena caval tumor thrombus treated with a novel combined retroperitoneal and transperitoneal pure laparoscopic procedure.
机构信息
Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.
Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.
出版信息
Urology. 2014 May;83(5):e9-10. doi: 10.1016/j.urology.2014.01.025.
A 61-year-old male patient presented with intermittent gross hematuria. A right renal mass with infrahepatic vena caval tumor thrombus was found using magnetic resonance imaging. We undertook a novel combined retroperitoneal and transperitoneal pure laparoscopic nephrectomy with vena caval thrombectomy for this patient. The patient recovered well after surgery and discharged on day 6. A clear cell renal cell carcinoma with venous extension was confirmed by pathologic assay. To our knowledge, this is the first report of such a novel hybrid surgical strategy.
一位 61 岁男性患者因间歇性肉眼血尿就诊。磁共振成像发现右肾有一肿块，伴有肝下腔静脉瘤栓。我们为该患者实施了一种新的联合腹膜后和经腹腔纯腹腔镜肾切除术和腔静脉取栓术。患者术后恢复良好，于第 6 天出院。病理检查证实为伴有静脉侵犯的透明细胞肾细胞癌。据我们所知，这是首例报道这种新型混合手术策略。
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