Theman T E, Stauffer R A, Lennert J B, Saunders C D
Section of Cardiothoracic Surgery, St. Luke's Hospital, Bethlehem, Penn.
Can J Surg. 1988 May;31(3):153-5.
Two patients with renal cell carcinoma invading the inferior vena cava to the level of the right atrium underwent complete excision of their renal tumours. Clearance of the caval extension was accomplished using cardiopulmonary bypass, profound hypothermia and circulatory arrest. The use of these techniques visually improved the operative field without extending operating time. Profound hypothermia and circulatory arrest do not increase postoperative morbidity or mortality and offer the best opportunity for cure.
两名肾细胞癌侵犯下腔静脉至右心房水平的患者接受了肾肿瘤的完整切除。通过体外循环、深度低温和循环停止来完成对下腔静脉延伸部分的清除。这些技术的使用在不延长手术时间的情况下直观地改善了手术视野。深度低温和循环停止不会增加术后发病率或死亡率，并且提供了最佳的治愈机会。
