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经皮 Veress 针穿刺人工气胸在肾癌冷冻消融术中的应用。

Artificially induced pneumothorax with a Veress needle for cryoablation of renal cell carcinoma.

机构信息

Radiology, Medical School, Kochi University, Kochi, Japan.

Urology, Medical School, Kochi University, Kochi, Japan.

出版信息

Minim Invasive Ther Allied Technol. 2022 Mar;31(3):483-486. doi: 10.1080/13645706.2020.1814341. Epub 2020 Sep 9.

DOI:10.1080/13645706.2020.1814341
PMID:32903048
Abstract

Thermal ablative techniques are used increasingly to treat renal cell carcinoma (RCC). Percutaneous cryoablation of tumors at the upper pole of the kidney may result in pulmonary damage due to the intervening lung parenchyma. We treated two patients with RCC in the upper pole of the kidney by inducing pneumothorax with a pneumoperitoneum needle before proceeding to percutaneous cryoablation. The procedures, performed under computed tomography (CT) fluoroscopy guidance, resulted in complete tumor necrosis. There was no pulmonary damage.

摘要

热消融技术越来越多地用于治疗肾细胞癌 (RCC)。经皮冷冻消融肾脏上极肿瘤可能会因中间的肺实质而导致肺部损伤。我们在进行经皮冷冻消融之前,通过气腹针诱导气胸来治疗两个位于肾脏上极的 RCC 患者。这些在计算机断层扫描 (CT) 透视引导下进行的操作导致了肿瘤的完全坏死。没有出现肺部损伤。

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