后腹腔镜肾根治性切除、开放腔静脉取栓术治疗巨大肾错构瘤合并下腔静脉瘤栓(附1例报告并文献复习)  

Laparoscopic Nephrectomy and Thrombectomy for Giant Renal Angiomyolipoma with Inferior Vena Caval Tumor Embolus:A Case Report and Literature Review

作　　者：肖飞[1] 张骞[1] 金杰[1] 

机构地区：[1]北京大学泌尿外科研究所北京大学第一医院泌尿外科,北京100034

出　　处：《临床泌尿外科杂志》2011年第7期496-498,共3页Journal of Clinical Urology

摘　　要：目的:报告1例巨大肾错构瘤合并腔静脉瘤栓患者的诊治经过.探讨其治疗选择.为罕见病例的治疗提供借鉴和指导。方法:汇总分析1例巨大肾错构瘤合并腔静脉瘤栓患者的临床术资料及诊治经过.查阅文献进行分析讨论。结果:结合病史、体检及辅助检查结果.考虑该患者肾错构瘤合并腔静脉瘤栓诊断明确.行后腹腔镜左肾根治性切除、开放腔静脉瘤栓取出术,术后患者恢复良好出院,病理证实为左肾错构瘤.瘤栓为脂肪成分。结论:肾错构瘤合并肾静脉、腔静脉瘤栓为泌尿外科罕见病例,对瘤体巨大的特殊病例,后腹腔镜肾根治性切除、开放瘤栓取出术是可选术式。在确保手术安全的前提下,能最大程度减少创伤,改善疾病预后及患者生活质量。Objective：Report 1 case of giant renal angiomyolipoma with vena cava tumor embolus, evaluate its treatment strategy, and provide initial experience and guidance to the rare cases. Methods： Based on review of liter atures, clinical manifestation, diagnosis and treatment strategy of this case were analyzed and discussed. Results： After the conclusive diagnosis of giant renal angiomyolipoma with vena cava tumor embolus, retroperitoneal laparoseopic radical nephrectomy together with open vena cava thrombectomy were performed successfully. The patient discharged 1 week later with satisfactory postoperative recovery. Pathological diagnosis confirmed a left renal angiomyolipoma with tumor thrombns consist of fat tissue. Conclusions：To those special cases of giant renal angio myolipoma with vena cava tumor embolus, retroperitoneal laparoscopic radical nephrectomy together with ol？en ve- na cava thrombectomy is available, reasonable and effective. On the premise of ensuring operation safety, the treatment could minimize the wound, improve the prognosis of the disease as well as the patients＇ quality of life.

关 键 词：肾错构瘤 腔静脉瘤栓 腹腔镜肾切除术 腔静脉取栓术 

分 类 号：R694[医药卫生—泌尿科学]