Shirakawa Makoto, Fujii Masahiro, Onoda Sho, Yamashita Hiromasa, Kawase Yasuhiro, Hodotsuka Naoto, Suzuki Yasutomo, Bessho Ryuzo, Ishii Yosuke
Department of Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Chiba, Japan.
Department of Cardiovascular Surgery, Nippon Medical School Hospital, Tokyo, Japan.
Ann Vasc Dis. 2024 Sep 25;17(3):283-286. doi: 10.3400/avd.cr.24-00005. Epub 2024 May 24.
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.
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。