Smith B M, Starnes V A
J Cardiovasc Surg (Torino). 1987 May-Jun;28(3):282-5.
Renal cell carcinoma which invades the renal veins is a frequent complicating factor in radical nephrectomy. In a 53-year-old patient with a left renal cell carcinoma, tumor thrombus was present in an aberrant, retroaortic left renal vein, and "en bloc" resection of the overlying aneurysmal aorta with a cuff of inferior vena cava was required. The aorta was reconstructed with a dacron bifurcation graft to the iliac arteries, and the vena cava closed primarily. The patient made an uneventful postoperative recovery. The requirement for extensive aortic and vena cava resection need not compromise attempts to cure locally advanced renal cell carcinoma.
侵犯肾静脉的肾细胞癌是根治性肾切除术常见的复杂因素。在一名53岁的左肾细胞癌患者中，异常的主动脉后左肾静脉存在肿瘤血栓，需要“整块”切除覆盖的动脉瘤样主动脉及一段下腔静脉。用涤纶分叉移植物将主动脉重建至髂动脉，下腔静脉一期缝合。患者术后恢复顺利。广泛切除主动脉和下腔静脉并不一定会影响对局部晚期肾细胞癌的治愈尝试。
