腹膜后肿瘤伴下腔静脉瘤栓手术中辅助循环的应用

目的 探讨不同的辅助循环方式在腹膜后肿瘤伴有腔静脉瘤栓手术中的应用效果。方法 1999年6月－2001年3月,对12例腹膜后肿瘤伴下腔静脉瘤栓患者进行了手术治疗。其中6例在不同方式的辅助循环下,完整切除肿瘤及下腔静脉瘤栓。结果 患者无近期手术并发症。术后随访1－18个月,1例患者术后1个月死亡,其余均存活至今,疗效满意。结论 对于腹膜后肿瘤伴下腔静脉瘤栓的患者,应根据瘤栓侵犯的不同类型,采用不同的辅助循环方式进行手术,在技术上是可取的,手术效果尚满意。

Circulation assist in the radical operation of retro-peritoneal malignancy with the inferior vena cava thrombotic involvement

Objective To discuss the key role of various mode of circulation assist in the radical operation of retro peritoneal malignancy with the inferior vena cava tumor thrombi. Methods From June 1999 to March 2001,retro peritoneal malignancy and the inferior vena cava tumor thrombi, were completely resected with various mode of circulation assist in 6 patients. Results All the patients operated have good outcomes and follow up (1 20 months) except one death 1 month after operation. Conclusions According to the various types of tumor thrombi, individualized and technically feasible circulation assist mode should be utilized to achieve the satisfactory outcomes.