| 陆崇德傅晓辉储开建姚晓平程树群.原发性肝癌合并下腔静脉癌栓的手术治疗[J].,2011,11(14):2756-2758 |
| 原发性肝癌合并下腔静脉癌栓的手术治疗 |
| Surgical Treatment of Primary Hepatocellular Carcinoma with TumorThrombus in the Inferior Vena Cava |
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| DOI： |
| 中文关键词: 肝细胞癌 下腔静脉 癌栓 |
| 英文关键词: Primary hepatocellular carcinoma Inferior vena cava Tumor thrombus |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨原发性肝癌合并下腔静脉癌栓的手术治疗方法。方法：采用肝切除加下腔静脉取栓治疗2 例肝癌合并下腔静脉
癌栓患者，取栓方法包括经荷栓肝静脉取栓(1 例)和下腔静脉切开取栓(1 例)，又分在全肝血流阻断下取栓和在萨氏钳局部血管阻
断下取栓。结果：2 例肝癌及下腔静脉癌栓均得到成功切除，术中无明显并发症发生；术后无死亡；随访中一例存活11 月；另1 例
已生存8 个月。结论：肝癌合并下腔静脉癌栓的手术治疗安全可行，其基本术式为肝切除加下腔静脉切开取栓。 |
| 英文摘要: |
| Objective: To clarify the proper surgical procedure of treating primary hepatocellular carcinoma (HCC) with a tumor
thrombus in the inferior vena cava ( IVC) . Methods: Two patients with PHCC with a tumor thrombus in the IVC underwent hepatectomy
and thrombectomy. Following hepatectomy, tumor thrombus was removed by incising the wall of the IVC in 1 patient and from the
hepatic vein in the other patient. The patients underwent thrombectomy under either total hepatic vascular exclusion (THVE) or
Satinsky's vascular clamping. Results: All the operations were successful without operative death and major complications. The
postoperative course was uneventful in the patients and pleural effusion occurred in one patient who needed thoracentesis. Follow-up
showed one patient is alive months，and the other patient is alive for 8 months. Conclusions: PHCCwith tumor thrombus in the IVC is
operable and the proper procedure is hepatectomy plus thrombectomy. |
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