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本文旨在总结肾细胞癌伴下腔静脉癌栓的手术治疗方法,通过系统介绍该症概况,根据基础理论及笔者多年临床工作经验,总结出伴多种级别下腔静脉癌栓的肾细胞癌手术治疗经验及技巧,分析各步骤处理原则、要点;从开放手术及腔镜下手术两方面分析手术的适应证及可行性。我院近1年内采用开放手术及腔镜下手术成功治疗肾细胞癌伴下腔静脉癌栓患者18例,各患者术后恢复良好,预后尚佳。因此,采用手术方式治疗肾细胞癌伴下腔静脉癌栓是可行并有效的,值得推广。
This article aims to summarize the surgical treatment of renal cell carcinoma with inferior vena cava tumor thrombus, by systematically introducing the general situation of the disease, according to the basic theory and author years of clinical experience, summed up with a variety of inferior vena cava tumor thrombus in renal cell carcinoma Surgical treatment experience and skills, analysis of the principles of the steps, points; from open surgery and endoscopic surgery analysis of surgical indications and feasibility. In the past year, 18 cases of renal cell carcinoma with IVC tumor thrombus were successfully treated with open surgery and endoscopic surgery in our hospital. All patients recovered well and the prognosis was good. Therefore, the use of surgical treatment of renal cell carcinoma with IVC tumor thrombus is feasible and effective, it is worth promoting.