Vaislic C D, Puel P, Grondin P, Vargas A, Thevenet A, Fontan F, Deville C, Leguerrier A, Touchot B, Piwnica A
J Thorac Cardiovasc Surg. 1986 Apr;91(4):604-9.
Between October, 1973, and October, 1983, 18 patients with cancer of the kidney or adrenal gland that had invaded the vena cava, and in 11 cases had reached the heart, were operated on by seven surgical teams. The surgical excision in all patients was performed with extracorporeal circulation, circulatory arrest and deep hypothermia. No deaths occurred. If there are no detectable metastases before operation, the 5 year survival rate is 75% as compared to 6 months with medical treatment. This clinical situation is not uncommon, as 3% to 10% of cancers of the kidney invade the inferior vena cava and 40% of them reach the heart. The possibility of curing the cancers with minimal operative risk should prompt a systematic search for venous invasion with any cancer of the kidney.
1973年10月至1983年10月期间，18例肾癌或肾上腺癌侵犯腔静脉，其中11例已累及心脏的患者由7个手术团队进行了手术。所有患者均在体外循环、循环阻断和深度低温下进行手术切除。无死亡病例。如果术前未发现转移，5年生存率为75%，而单纯药物治疗的生存时间为6个月。这种临床情况并不少见，因为3%至10%的肾癌会侵犯下腔静脉，其中40%会累及心脏。以最小的手术风险治愈癌症的可能性应促使对任何肾癌患者进行系统的静脉侵犯检查。
