1.

論文(リポジトリ)

論文(リポジトリ)
Miyazato, Minoru ; Yamashiro, Satoshi ; Goya, Masato ; Inafuku, Hitoshi ; Ikehara, Akashi ; Oshiro, Yoshinori ; Saito, Seiichi ; Kuniyoshi, Yukio
出版情報: BMC Research Notes.  7  2014-10-01.  BioMed Central
URL: http://hdl.handle.net/20.500.12000/47331
概要: Background: Renal cell carcinoma with tumor thrombus extension into the inferior vena cava occurs in approximately 5% of cases. Despite such situations, an aggressive surgical approach is recommended. However, intraoperative prevention of pulmonary embolism by a fragmended tumor thrombus is necessary. To prevent pulmonary embolism, placement of a temporary suprarenal filter has been attempted, however, the precise placement of a temporary filter between the level of the hepatic vein and right atrium is not always easy because of its migration, tilting, and strut fracture. Here we report a method for early occlusion control of the intrapericardial inferior vena cava to prevent pulmonary embolism during nephrectomy in level II or III renal cell carcinoma tumor thrombus.\nCase presentation: Our first case was a 37-year-old Japanese man with left renal cell carcinoma extending into the inferior vena cava below the main hepatic vein (level II) and our second was a 75-year-old Japanese man with right renal cell carcinoma extending into the retrohepatic inferior vena cava at the main hepatic vein (level III). En block resection of the kidney and the tumor thrombus was performed with the aid of partial extracorporeal circulation; the postoperative course of both patients was uneventful.\nConclusion: Control of intrapericardial inferior vena cava is a feasible method to prevent pulmonary embolism.
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2.

論文(リポジトリ)

論文(リポジトリ)
Miyazato, Minoru ; Yamashiro, Satoshi ; Goya, Masato ; Inafuku, Hitoshi ; Ikehara, Akashi ; Oshiro, Yoshinori ; Saito, Seiichi ; Kuniyoshi, Yukio
出版情報: BMC Research Notes.  7  2014-10-01.  BioMed Central
URL: http://hdl.handle.net/20.500.12000/47506
概要: Background: Renal cell carcinoma with tumor thrombus extension into the inferior vena cava occurs in approximately 5% of cases. Despite such situations, an aggressive surgical approach is recommended. However, intraoperative prevention of pulmonary embolism by a fragmended tumor thrombus is necessary. To prevent pulmonary embolism, placement of a temporary suprarenal filter has been attempted, however, the precise placement of a temporary filter between the level of the hepatic vein and right atrium is not always easy because of its migration, tilting, and strut fracture. Here we report a method for early occlusion control of the intrapericardial inferior vena cava to prevent pulmonary embolism during nephrectomy in level II or III renal cell carcinoma tumor thrombus.\nCase presentation: Our first case was a 37-year-old Japanese man with left renal cell carcinoma extending into the inferior vena cava below the main hepatic vein (level II) and our second was a 75-year-old Japanese man with right renal cell carcinoma extending into the retrohepatic inferior vena cava at the main hepatic vein (level III). En block resection of the kidney and the tumor thrombus was performed with the aid of partial extracorporeal circulation; the postoperative course of both patients was uneventful.\nConclusion: Control of intrapericardial inferior vena cava is a feasible method to prevent pulmonary embolism.
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