CAJ | 학술논문

目的探讨改良肝松解技术处理肾癌合并肝内下腔静脉瘤栓的安全性和疗效. 方法 2006年7月至2010年8月采用改良肝松解技术治疗肾癌伴肝内下腔静脉瘤栓患者10例.男7例,女3例.年龄36～71岁,平均49岁.临床分期T3bN0M0.使用克氏无创阻断钳阻断肝上下腔静脉,配合使用肝门阻断带,切除下腔静脉瘤栓. 结果本组10例手术均顺利完成,平均手术时间300 min,术中平均出血量800 ml,平均输血650 ml.住院时间10～15 d,平均13d.无气胸、肺炎、心肌梗死、术后大出血、邻近脏器损伤等严重并发症出现.随访1个月～4年,无复发转移. 结论术中使用克氏无创阻断钳阻断肝上下腔静脉,有助于切除肾癌伴肝内下腔静脉瘤栓,可避免开胸手术,减小手术创伤.
목적 탐토개량간송해기술처리신암합병간내하강정맥류전적안전성화료효. 방법 2006년7월지2010년8월채용개량간송해기술치료신암반간내하강정맥류전환자10례.남7례,녀3례.년령36～71세,평균49세.림상분기T3bN0M0.사용극씨무창조단겸조단간상하강정맥,배합사용간문조단대,절제하강정맥류전. 결과 본조10례수술균순리완성,평균수술시간300 min,술중평균출혈량800 ml,평균수혈650 ml.주원시간10～15 d,평균13d.무기흉、폐염、심기경사、술후대출혈、린근장기손상등엄중병발증출현.수방1개월～4년,무복발전이. 결론 술중사용극씨무창조단겸조단간상하강정맥,유조우절제신암반간내하강정맥류전,가피면개흉수술,감소수술창상.
Objective To report the modified liver mobilization technique in management of renal cell carcinoma with intrahepatic inferior vena cava thrombus. Methods 10 cases (7 men and 3 women at the average age of 49 years) of renal cell carcinoma with intrahepatic inferior vena cavs thrombus were reviewed.The operations were carried by using father clamp to control inferior vena cava,combined with hepatic portal blocking. Results There was no postoperative complication.The average blood loss was 800 ml.The mean hospital stay was 13 days.The time of follow-up ranged from 1 to 48 months. Conclusions The technique of using father clamp to control suprahepatic inferior vena cava combined with hepatic portal blocking is feasible for the treatment of the renal cell carcinoma with intrahepatic inferior vena cava thromhosis.