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肾癌并肝下型下腔静脉癌栓的手术治疗并文献复习 被引量：2

Surgical treatment of renal cell carcinoma with infrahepatic vena cava tumor thrombus and literature review
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摘要 目的探讨肾细胞癌并下腔静脉癌栓的手术治疗方法。方法回顾性分析6例经手术及病理证实的肾细胞癌并肝下型下腔静脉癌栓患者的临床资料,所有病例均行根治性肾切除并癌栓切除术,分别采用下腔静脉切开、下腔静脉部分切除和节段性下腔静脉切除三种方法取出癌栓。结果 6例手术均获成功,无大出血、肺梗塞等并发症,术后患者恢复良好。其中2例分别于术后38个月和76个月死亡,3例仍健在,平均存活时间为54个月,1例术后18个月后失访。结论右肾癌并下腔静脉癌栓患者下腔静脉节段性切除能够安全地进行,根治性肾切除并癌栓切除术能够使患者获得长期存活。 Objective To investigate surgical treatment of renal cell carcinoma（RCC）with the inferior vena cava（IVC）involvement.MethodsThe clinical data of 6 patients of RCC with the IVC involvement diagnosed by operation and pathology were analyzed retrospectively.The removals of tumor thrombus were underwent by three ways that are venacavotomy,partial mural venacavectomy and segmental venacavectomy.ResultsAll operations were performed successfully without severe complications such as pulmonary infarction and massive haemorrhage,etc.The patients showed good postoperative effects.2 cases died,1 died in 38 months after operation,another in 76 months after operation.3 cases are survival,median survival is 54 months.1 case lost follow-up in 18 months after operation.ConclusionsSegmental venacavectomy can be done safely without a graft for the right RCC with the IVC involvement.Radical nephrectomy plus thrombectomy can result in prolonged patient survival.
作者 肖运政 袁淦宁 邹晓峰 黄崇明 刘跃光 何冬 赵树华 周琦 熊丽
机构地区 深圳市西丽人民医院泌尿外科 江西赣南医学院一附泌尿外科
出处 《现代泌尿生殖肿瘤杂志》 2011年第2期80-82,共3页 Journal of Contemporary Urologic and Reproductive Oncology
关键词 肾肿瘤 下腔静脉癌栓 外科手术 Kidney neoplasms Inferior vena cava tumor thrombus Surgical Procedures
分类号 R737.11 [医药卫生—肿瘤]
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参考文献13

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二级参考文献11

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共引文献27

同被引文献44

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引证文献2

二级引证文献5

现代泌尿生殖肿瘤杂志
2011年 第2期

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