Surgical Resection and Inferior Vena Cava Reconstruction for Treatment of the Malignant Tumor: Technical Success and Outcomes

Gotō, Hitoshi; Hashimoto, Munetaka; Akamatsu, Daijiro; Shimizu, Takuya; Miyama, Noriyuki; Tsuchida, Kozo; Tajima, Yuta; Ohuchi, Noriaki

doi:10.3400/avd.oa.13-00125

Cited by 33 publications

(33 citation statements)

References 18 publications

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“…Единственной технической возможностью радикального удаления опухоли у больных раком почки с протяженной инвазией опухолевого тромба в венозную стенку является резекция участка пораженного участка НПВ, в том числе циркулярная. В литературе имеются описания единичных случаев и небольших серий наблюдений резекции НПВ при почечно-клеточном раке с опухолевой венозной инвазией, как правило в инфраренальном или периренальном отделах [2,[4][5][6][7][8]. Также накоплен небольшой опыт удаления инфраренального, периренального и внутрипеченочного сегментов НПВ при первичных или рецидивных забрюшинных опухолях [9][10][11].…”

Section: Discussionunclassified

“…Тем не менее наличие коллатеральных вен, впадающих в левую ПВ (ЛПВ), является анатомической предпосылкой для отказа от протезирования и дает основание рассчитывать на сохранение венозного оттока от левой почки даже при перевязке ПВ. Относительная безопасность перевязки ЛПВ косвенно подтверждается результатами хирургического лечения заболеваний абдоминального отдела аорты [1], а также единичными наблюдениями за больными с опухолями забрюшинного пространства, подвергнутыми удалению опухоли с периренальным отделом НПВ [2].…”

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“…Однако в недавней публикации H. Goto и соавт. (2014), включившей 8 больных, подвергнутых нефрэктомии справа, циркулярной резекции НПВ с перевязкой ЛПВ, отмечено, что увеличение концентрации сывороточного креатинина после операции было недостоверным (с 1,49 до 1,66 мг / дл; р >0,05) [2].…”

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Safety of left renal vein ligation during circular resection of the inferior vena cava in right-side kidney carcinoma with tumor venous thrombosis

et al. 2019

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Section: Discussionunclassified

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Safety of left renal vein ligation during circular resection of the inferior vena cava in right-side kidney carcinoma with tumor venous thrombosis

et al. 2019

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“…29,30 It has been reported that in intravenous leiomyomatosis, tumor thrombi extend to the cardiac cavities via the IVC in 10% of patients. 31,32 In addition, extension of leiomyosarcoma, [33][34][35][36] liposarcoma, 34,37 angiomyolipoma, 38 osteosarcoma, 39 adrenal malignancy, 40,41 and primitive neuro ectodermal tumors 42 into the IVC or right heart have also been described. Reports of lung cancer, malignant thymoma, thyroid carcinoma 43 and other cancers metastasizing into the IVC as tumor thrombi are extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Sonography and Transthoracic Echocardiography for Diagnosis of Systemic Cardiovascular Metastatic Tumor Thrombi

Wang

Cheng

Lee

et al. 2016

J of Ultrasound Medicine

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Sonography and transthoracic echocardiography (TTE) are seldom used for assessment of metastatic tumor thrombi in the cardiovascular system in routine clinical practice. We performed this retrospective study to evaluate the combination of sonography with TTE for diagnosis of metastatic tumor thrombi in heart and systemic vessels. Vascular, abdominal, pelvic, and small-part sonography was applied in 18 patients, and TTE was conducted simultaneously in 14 patients. Tumor thrombi invaded into the inferior vena cava system in 12 patients, superior vena cava system in 5 patients, and aorta in 1 patient; they extended to the right cardiac chambers in 11 patients. Six patients had diagnoses by pathologic examination. The primary neoplasms were identified by conventional imaging in 17 patients. The morphologic and echogenic characteristics of the tumor thrombi were diverse and depended on their original tumors. The thrombi were either contiguous or discrete from the original tumors. The neoplastic vascularity of the thrombi and the invasive extension were the primary characteristics that distinguished them from bland thrombi. Simultaneous application of sonography and TTE is a feasible way to comprehensively evaluate cardiovascular metastatic tumor thrombi in most patients.

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“…um estudo avaliando 47 pacientes submetidos à ressecção de veia cava inferior para excisão tumoral obteve 19 reimplantes de veias renais, tanto direita quanto esquerda [18][19] . Já outro estudo envolvendo 41 pacientes submetidos a ressecções cavais para tratamentos tumorais relatou oito ligaduras de veia renais esquerda 20 .…”

Section: Revista Brasileira De Cancerologia 2018; 64(1): 113-118unclassified

Ligadura da Veia Renal Esquerda e Preservação da Função Renal pelas Colaterais nos Tumores Retroperitoneais

Gonçalves¹,

Júnior

2018

Rev. Brasileira.De.Cancerologia

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Introdução: O retroperitônio pode apresentar diversas patologias e possui certa complexidade e mau prognóstico em virtude do íntimo contato e envolvimento de grandes vasos nas abordagens cirúrgicas. A cirurgia é a opção terapêutica associada à sobrevida prolongada. O estudo tem por objetivo demonstrar que é possível a preservação da função renal, pelas colaterais, após a ligadura ou ressecção da veia renal esquerda sem reconstrução vascular. Relato dos casos: Dois casos de pacientes com tumores retroperitoneais com invasão vascular local onde, para sua completa ressecção, fizeram-se necessárias a secção e a ligadura da veia renal esquerda. Evoluíram com preservação da função renal em razão da drenagem venosa pelas colaterais, não sendo necessária a reconstrução vascular. Além disso, foi realizada, para melhor discussão dos casos, revisão bibliográfica. Conclusão: A secção e ligadura da veia renal esquerda mostraram-se seguras nos dois pacientes tratados com ressecção de tumores retroperitoneais, não sendo a sua reconstrução obrigatória quando preservadas as colaterais para drenagem venosa.

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Surgical Resection and Inferior Vena Cava Reconstruction for Treatment of the Malignant Tumor: Technical Success and Outcomes

Cited by 33 publications

References 18 publications

Safety of left renal vein ligation during circular resection of the inferior vena cava in right-side kidney carcinoma with tumor venous thrombosis

Safety of left renal vein ligation during circular resection of the inferior vena cava in right-side kidney carcinoma with tumor venous thrombosis

Sonography and Transthoracic Echocardiography for Diagnosis of Systemic Cardiovascular Metastatic Tumor Thrombi

Ligadura da Veia Renal Esquerda e Preservação da Função Renal pelas Colaterais nos Tumores Retroperitoneais

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