臨床泌尿器科62巻6号

2008年05月発行

綜説

静脈内腫瘍塞栓を伴う腎細胞癌の手術治療と成績

著者： 吉村一良¹ 上野宗久¹

所属機関： ¹埼玉医科大学国際医療センター泌尿器腫瘍科

ページ範囲：P.359 - P.366

文献概要

要旨　腎細胞癌は静脈浸潤傾向を示す癌であることが知られており，静脈内腫瘍塞栓（venous tumor throumbus：VTT）をしばしば合併する。手術治療は困難を伴うことがあるが，VTTの存在する症例でも遠隔転移のない場合は手術後良好な予後が得られるといわれており，積極的な外科治療の重要性は現在も変わるところはない。近年，肝静脈合流部あるいは横隔膜を超える腫瘍塞栓の症例でも人工心肺を使用しない術式が試みられるようになっており，体外循環に伴う合併症が減る傾向にある。腫瘍塞栓のレベルによる術式の選択，および予後に関して概説する。

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