机器人腹腔镜下肾癌合并下腔静脉癌栓的处理 (“大家泌尿网”观看手术视频)  

Key surgical techniques in robot-assisted laparoscopic radical nephrectomy and thrombectomy for renal cell carcinoma with inferior vena cava thrombus

作　　者：王声政[1] 张雪培[1] WANG Shengzheng;ZHANG Xuepei(Department of Urology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,河南郑州450052

出　　处：《现代泌尿外科杂志》2023年第5期367-371,共5页Journal of Modern Urology

摘　　要：手术切除是肾癌伴下腔静脉癌栓的主要治疗方法,术前评估和详细的手术计划有利于肿瘤的顺利切除,特别是癌栓的长度、有无血栓以及静脉壁的侵犯情况是影响手术的重要因素。另外,对于癌栓侵犯静脉壁、严重粘连或合并血栓癌栓的病例,下腔静脉整块切除后静脉重建与否是一个特殊的手术决策。本文将对机器人根治性肾切除术和下腔静脉取栓术的手术步骤和关键要点进行阐述。The mainstay of treatment for renal cell carcinoma with inferior vena cava(IVC)thrombus is complete surgical excision,which can be facilitated by appropriate preoperative evaluation and detailed planning.The level of tumor thrombus,the presence or absence of thrombus and the invasion of vein wall are important variables affecting surgery.For cases complicated with adherent or invasive tumor thrombus,en bloc resection of the IVC with or without venous reconstruction represents a special decision-making.This review will describe the evolving surgical techniques and key points of robotic-assisted radical nephrectomy with IVC thrombectomy.

关 键 词：下腔静脉癌栓 机器人手术 根治性肾切除术 

分 类 号：R692[医药卫生—泌尿科学]