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左肾静脉临时阻断作为主动脉腔静脉间嗜铬细胞瘤切除术的辅助手段。

Temporary interruption of the left renal vein as an adjunct to resection of interaortocaval pheochromocytoma.

作者信息

Kato T, Sato K, Kakinuma H, Abe T, Shindo M

机构信息

Department of Urology, Akita University School of Medicine, Japan.

出版信息

Urol Int. 1994;53(1):44-7. doi: 10.1159/000282631.

DOI:10.1159/000282631
PMID:7974886
Abstract

Although the left kidney has a number of venous collaterals, the collateral venous drainage is not always sufficient to allow permanent ligation of the venous trunk. Interruption and reanastomosis of the left renal vein were performed as an adjunct to dissection of extra-adrenal pheochromocytoma arising in the interaortocaval space. Reconstruction of the interrupted vein is a simple and reasonably acceptable technique to preserve the ipsilateral renal function. This maneuver, though practiced infrequently, facilitates the juxtarenal surgeries exposure of which is seriously hampered by the anatomical disposition of the left renal vein.

摘要

尽管左肾有许多静脉侧支,但侧支静脉引流并不总是足以允许永久性结扎静脉主干。在解剖起源于主动脉腔间隙的肾上腺外嗜铬细胞瘤时,对左肾静脉进行了阻断和再吻合。重建中断的静脉是一种简单且合理可接受的技术,以保留同侧肾功能。这种操作虽然很少实施,但有助于肾旁手术,而左肾静脉的解剖位置严重妨碍了该手术的暴露。

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