根治性肾切除术和下腔静脉血栓形成术的结果。

IF 2.5 2区 医学 Q2 UROLOGY & NEPHROLOGY Current Urology Reports Pub Date : 2024-12-01 Epub Date: 2024-08-14 DOI:10.1007/s11934-024-01228-2
Roberto Filizzola, Daniel Romero, Samuel Mendez, David Brunstein, Alejandro Benitez
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引用次数: 0

摘要

综述目的:侵犯下腔静脉(IVC)的肾细胞癌(RCC)是一种罕见的致命疾病。RCC 患者的平均预期寿命不超过 6 个月,因此需要积极的手术治疗。我们分析了在一家医疗机构接受手术的患者的治疗效果:对近期成功接受根治性肾切除术和输尿管血栓切除术治疗的系列患者进行的分析表明,患者的 5 年生存率在 45% 到 69% 之间。我们在分析的系列研究中发现,这些患者的治疗成功与否取决于肾肿瘤切除术和静脉血栓切除术。我们发现,在我们的医疗机构中,肾切除术和静脉血栓切除术加初级修复术没有术中死亡率,也没有肺栓塞。肾切除术和 IVC 血栓切除术是治疗晚期 RCC 患者的可靠方法。
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Results of Radical Nephrectomy and Inferior Vena Cava Thrombectomy.

Purpose of review: Renal Cell Carcinoma (RCC) with invasion into the inferior vena cava (IVC) is a rare and mortal condition. Patients with RCC have an average life expectancy of no more than six months, thus requiring an aggressive surgical approach. We analyze the outcomes of patients that underwent surgery at a single medical institution.

Recent findings: The analysis of recent series of successful treatment with radical nephrectomy and IVC thrombectomy shows a 5 year survival from 45 to 69%. We found in the analyzed series that the success of the treatment in these patients depends on the resection of the renal tumor and venous thrombectomy. We found that at our medical institution nephrectomy and IVC thrombectomy with primary repair have no intraoperative mortality and no pulmonary embolism. Nephrectomy and thrombectomy of IVC is a reliable approach for patients with advance RCC.

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来源期刊
Current Urology Reports
Current Urology Reports UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
3.80%
发文量
39
期刊介绍: This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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