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].现代生物医学进展英文版,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 |
|
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: |
|
Hits: 773 |
Download times: 1317 |
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. |
View Full Text
View/Add Comment Download reader |
Close |