Kurokawa S, Hida S, Fukuda S, Denda S, Shimoji K
Department of Anesthesiology, Niigata University, School of Medicine.
Masui. 1998 May;47(5):596-601.
A 58 year-old woman underwent radical nephrectomy, thrombectomy and ileo-cecal resection for renal tumor with thrombus involving the inferior vena cava and ascending colon cancer. In a patient having tumor thrombus extending to the vena cava, recognition of the position of the thrombus is important for surgical and anesthetic management in pre- and intra-operative periods. Transesophageal echocardiography (TEE) enabled us to visualize the real-time movement and deformity of thrombus by surgical manipulation and compression during operation. TEE seemed also very useful not only in understanding the hemodynamics during operation but also in detecting the residual tumor and the blood flow in liver and the inferior vena cava after operation.
一名58岁女性因肾肿瘤伴血栓累及下腔静脉及升结肠癌接受了根治性肾切除术、血栓切除术和回盲部切除术。对于肿瘤血栓延伸至腔静脉的患者，识别血栓位置对于术前和术中的手术及麻醉管理至关重要。术中经食管超声心动图（TEE）使我们能够通过手术操作和压迫观察到血栓的实时运动和变形。TEE似乎不仅在了解术中血流动力学方面非常有用，而且在术后检测残余肿瘤以及肝脏和下腔静脉的血流方面也非常有用。
