采用一种新的经腹切开膈肌方法治疗肝癌合并膈上下腔静脉癌栓  

Diaphragm incision through the abdominal cavity for the treatment of hepatocellular carcinoma with intrathoracicinferior vena cava tumor thrombus

作　　者：严茂林[1] 游燊[1] 王耀东[1] 陈忠[1] 陈志江[1] 

机构地区：[1]350001福州,福建省立医院肝胆外科

出　　处：《中华消化外科杂志》2014年第2期155-156,共2页Chinese Journal of Digestive Surgery

基　　金：福建省卫生厅医学创新课题（2009-CBX-11）;福建省卫生厅青年基金（2207-41）

摘　　要：肝癌合并下腔静脉癌栓是晚期肝癌的表现，以往认为手术治疗效果很差。随着外科技术的发展，手术治疗不仪能去除原发灶，而且能解除癌栓脱落造成心力衰竭和肺动脉栓寒。福建省市阪院收治了1例肝癌合并膈上下腔静脉癌栓患者，旨在探讨肝癌合并下腔静脉癌栓手术过程中经腹切开膈肌显露脯上下腔静脉的新方法。Hepatocellular carcinoma with inferior vena eava tumor thromhus is the presentation of advanced liver can- cer, and the eflicacy of surgery was poor in the past. With the development of surgical lec}miques, surgical treatment couh：l not only remove the primalw tumor, hut also prevent heari failure and puhnonaz？,＂ embolism caused by tumor thrombi. One patient with hepatneellular carcinoma with intrathoraeic inferior vena eava tumor thrombus was admitted to the Fujian Provincial Hospital. The new approach to incise the diaphragm through the abdominal cavity and expose the intrathoracic inferior vena eava during the operatinn was investigated.

关 键 词：肝肿瘤 下腔静脉 癌栓 膈肌 

分 类 号：R735.7[医药卫生—肿瘤]