Yamaguchi R, Yamaguchi A, Isogai M, Hori A, Kin Y
Department of Surgery, Ogaki Municipal Hospital, Minaminokawa, Japan.
Surg Today. 1998;28(3):359-61. doi: 10.1007/s005950050141.
We succeeded in surgically resecting a leiomyosarcoma of the inferior vena cava (IVC), which originated at the confluent portion of the right renal vein (RRV), together with the IVC and RRV, and also were able to preserve the right kidney by reconstructing the RRV with end-to-end anastomosis using the right gonadal vein. A good blood flow of the reconstructed RRV was thereafter confirmed by color Doppler ultrasonography, and the renal function was also satisfactory. This new procedure, a reconstruction of the RRV using the gonadal vein, has not been previously reported, but is considered to be an easy and effective method which enables the surgeon to preserve the normal right kidney.
我们成功地通过手术切除了一例起源于右肾静脉（RRV）汇合部的下腔静脉（IVC）平滑肌肉瘤，同时切除了IVC和RRV，并通过使用右性腺静脉进行端端吻合重建RRV，从而保留了右肾。此后，通过彩色多普勒超声证实重建的RRV血流良好，肾功能也令人满意。这种使用性腺静脉重建RRV的新方法此前未见报道，但被认为是一种简单有效的方法，使外科医生能够保留正常的右肾。
