【摘 要】
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Renal cancer with inferior vena cava (IVC) tumor thrombus is a complex and difficult clinical problem.The level Ⅳ thrombus, in particular, reaches the level above the diaphragm, usually need combined
【机 构】
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Department of Urology,the First Affiliated Hospital of Nanjing Medical University (Jiangsu Province
【出 处】
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第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿
论文部分内容阅读
Renal cancer with inferior vena cava (IVC) tumor thrombus is a complex and difficult clinical problem.The level Ⅳ thrombus, in particular, reaches the level above the diaphragm, usually need combined abdominal and chest incision.Patients suffer from huge trauma and recover slowly.Hybrid combination of laparoscope and video-assisted thoracoscopic surgery might be an alternative to open surgery for such condition.We describe the initial experience and evaluate the feasibility and safety of this surgical technique.From April 2011 to November 2014, five patients with renal cancer and level Ⅳ tumor thrombus underwent hybrid combination of laparoscope and video-assisted thoracoscopic surgery at our institution.In two cases of them the thrombus reached into right atrium.Laparoscopic radical nephrectomy was first performed, then the contralateral renal vein, hepatoduodenal ligament and distal IVC were isolated and prepared for clamping.
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