术中超声引导下肾上腺皮质癌伴肝后下腔静脉癌栓手术规划及流程  

Surgical strategy and procedure of adrenocortical carcinoma with retrohepatic inferior vena cava tumor thrombus with intraoperative ultrasound guidance

作　　者：斯琴塔娜 王之浩 童俊翔 荣维淇 蒙轩 王宏光 Siqin Tana;Wang Zhihao;Tong Junxiang;Rong Weiqi;Meng Xuan;Wang Hongguang(Department of Hepatobiliary Surgery,National Cancer Center,National Clinical Research Center for Cancer,Hebei Cancer Hospital,Chinese Academy of Medical Sciences,Langfang 065001,China;Department of Hepatobiliary Hernia Surgery,Liaocheng Dongchangfu People's Hospital,Liaocheng 252000,China;Department of Hepatobiliary Surgery,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)

机构地区：[1]国家癌症中心、国家肿瘤临床医学研究中心、河北中国医学科学院肿瘤医院肝胆外科,廊坊065001 [2]聊城市东昌府人民医院肝胆疝外科,聊城252000 [3]国家癌症中心、国家肿瘤临床医学研究中心、中国医学科学院北京协和医学院肿瘤医院肝胆外科,北京100021

出　　处：《中华肝胆外科杂志》2023年第2期135-137,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：肾上腺皮质癌(ACC)伴下腔静脉癌栓罕见且预后较差,目前绝大多数文献支持积极的手术干预。本文总结了1例ACC伴下腔静脉癌栓患者的诊治过程,探讨术前详细的影像学资料及术中超声对于评估ACC伴下腔静脉癌栓的上界及下界的可行性,阐述术中超声引导下ACC伴肝后下腔静脉癌栓手术规划及流程,证明通过术前多模态影像学及术中超声精准评估ACC下腔静脉癌栓上下界、决定血流阻断方式以及获得肿瘤根治切除是可行的。Adrenocortical carcinoma(ACC)with inferior vena cava thrombosis is rare and has a poor prognosis,and the current literature overwhelmingly supports aggressive surgical intervention.This article summarizes the management of a patient with ACC with inferior vena cava thrombosis,and discusses the feasibility of detailed preoperative imaging data and intraoperative ultrasound to assess the superior and inferior boundaries of ACC with inferior vena cava thrombosis,while describing the intraoperative ultrasound-guided surgical planning and procedure for ACC with retrohepatic inferior vena cava tumor thrombus.Furthermore,it also demonstrates that it is feasible to accurately assess the superior and inferior boundaries of ACC with inferior vena cava thrombosis by preoperative multimodal imaging and intraoperative ultrasound,determine the mode of flow blockage during the operation,and obtain radical resection of the tumor.

关 键 词：肾上腺皮质肿瘤 下腔静脉癌栓 术中超声 下腔静脉阻断技术 

分 类 号：R736.6[医药卫生—肿瘤]