Ariyoshi A, Komatsu K
Hinyokika Kiyo. 1985 May;31(5):821-5.
A case of successful removal of right renal cell carcinoma extending into inferior vena cava in a 62-year-old man was reported. The tumor thrombus reached the level of the liver and almost completely obliterated both caval and contralateral renal veins. With cooperation of cardiovascular and hepatic surgeons, the operation was performed under thoracoabdominal exposure. Extensive mobilization of the liver enabled us to regulate vena caval and hepatic blood circulation. The tumor thrombus, though partly adhesive to the caval vein, could be completely removed safely through a long cavotomy incision. To cope with the recent advance in more aggressive cancer surgery, it seems mandatory for urologists to acquire a broad knowledge of thoracic, cardiovascular and hepatic surgery as well.
报告了一例成功切除一名62岁男性右肾细胞癌并累及下腔静脉的病例。肿瘤血栓延伸至肝脏水平，几乎完全闭塞了腔静脉和对侧肾静脉。在心血管外科医生和肝脏外科医生的协作下，经胸腹联合暴露进行手术。广泛游离肝脏使我们能够调节腔静脉和肝脏的血液循环。肿瘤血栓虽部分与腔静脉粘连，但通过长的腔静脉切开切口可安全地将其完全切除。为应对近期更积极的癌症手术进展，泌尿外科医生似乎也必须广泛掌握胸外科、心血管外科和肝脏外科知识。
