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心血管外科医生在腹膜后肿瘤切除的肿瘤血管手术中的作用：病例报告

The Role of Cardiovascular Surgeons in Oncovascular Surgery for Resection of Retroperitoneal Tumors: A Case Report.

作者信息

Shirakawa Makoto, Fujii Masahiro, Onoda Sho, Yamashita Hiromasa, Kawase Yasuhiro, Hodotsuka Naoto, Suzuki Yasutomo, Bessho Ryuzo, Ishii Yosuke

机构信息

Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Chiba, Japan.

Department of Cardiovascular Surgery, Nippon Medical School Hospital, Tokyo, Japan.

出版信息

Ann Vasc Dis. 2024 Sep 25;17(3):283-286. doi: 10.3400/avd.cr.24-00005. Epub 2024 May 24.

DOI:10.3400/avd.cr.24-00005
PMID:39359550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11444819/
Abstract

A 43-year-old man diagnosed with a giant retroperitoneal tumor with suspected invasion of the abdominal aorta and inferior vena cava underwent surgery. Complete en bloc tumor resection could be achieved by transection and reconstruction of the abdominal aorta and inferior vena cava. This case highlights the need for aggressive, complete tumor resection when major vessels are invaded. To ensure comprehensive tumor removal, especially in cases requiring manipulation of major vessels, it is imperative to increase the involvement of cardiovascular surgeons in such surgeries. Therefore, widespread promotion of the concept of oncovascular surgery is essential.

摘要

一名43岁男性被诊断患有巨大腹膜后肿瘤，怀疑侵犯腹主动脉和下腔静脉，遂接受手术。通过横断并重建腹主动脉和下腔静脉可实现肿瘤整块完整切除。该病例凸显了在主要血管受侵犯时积极进行完整肿瘤切除的必要性。为确保彻底切除肿瘤，尤其是在需要处理主要血管的病例中，必须增加心血管外科医生参与此类手术。因此，广泛推广肿瘤血管外科学概念至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/ce52b5bca719/avd-17-283-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/9f31b14aa39b/avd-17-283-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/13c4991bd412/avd-17-283-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/ce52b5bca719/avd-17-283-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/9f31b14aa39b/avd-17-283-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/13c4991bd412/avd-17-283-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2c/11444819/ce52b5bca719/avd-17-283-g003.jpg

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本文引用的文献

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Multidisciplinary Oncovascular Surgery is Safe and Effective in the Treatment of Intra-abdominal and Retroperitoneal Sarcomas: A Retrospective Single Centre Cohort Study and a Comprehensive Literature Review.多学科联合腹盆部肉瘤外科治疗：回顾性单中心队列研究及文献复习
Eur J Vasc Endovasc Surg. 2020 Nov;60(5):752-763. doi: 10.1016/j.ejvs.2020.05.029. Epub 2020 Jul 31.
2
Oncovascular Surgery: Essential Roles of Vascular Surgeons in Cancer Surgery.肿瘤血管外科：血管外科医生在癌症手术中的重要作用。
Vasc Specialist Int. 2019 Jun;35(2):60-69. doi: 10.5758/vsi.2019.35.2.60. Epub 2019 Jun 30.
3
Vascular resection en-bloc with tumor removal and graft reconstruction is safe and effective in soft tissue sarcoma (STS) of the extremities and retroperitoneum.
在四肢和腹膜后软组织肉瘤（STS）中，整块切除肿瘤并行血管切除及移植物重建是安全有效的。
Surg Oncol. 2016 Sep;25(3):125-31. doi: 10.1016/j.suronc.2016.05.002. Epub 2016 May 7.
4
Oncovascular surgery.肿瘤血管外科学。
Eur J Surg Oncol. 2011 Dec;37(12):1017-24. doi: 10.1016/j.ejso.2011.08.131. Epub 2011 Sep 13.
5
Surgical treatment of retroperitoneal leiomyosarcoma invading the inferior vena cava: report of three cases.侵犯下腔静脉的腹膜后平滑肌肉瘤的外科治疗：三例报告
Surg Today. 2002;32(10):929-33. doi: 10.1007/s005950200185.
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Replacement of the inferior vena cava for malignancy: an update.恶性肿瘤所致下腔静脉置换术：最新进展
J Vasc Surg. 2000 Feb;31(2):270-81. doi: 10.1016/s0741-5214(00)90158-7.
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Patency in canine inferior vena cava grafting: effects of graft material, size, and endothelial seeding.犬下腔静脉移植的通畅性：移植材料、尺寸和内皮细胞种植的影响。
J Vasc Surg. 1984 Nov;1(6):877-87. doi: 10.1067/mva.1984.avs0010877.