Vena Caval Reconstruction During Postchemotherapy Retroperitoneal Lymph Node Dissection for Metastatic Germ Cell Tumor
Vena Caval Reconstruction During Postchemotherapy Retroperitoneal Lymph Node Dissection for Metastatic Germ Cell Tumor
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DOI：
10.1016/j.urology.2008.02.054
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发表时间：
2009-02-01
期刊：
影响因子：
2.1
通讯作者：
Baniel, Jack
中科院分区：
文献类型：
--
作者：
Ehrlich, Yaron;Kedar, Daniel;Baniel, Jack
我们提出我们的经验，下腔静脉（IVC）重建化疗后腹膜后淋巴结清扫术（PC-RPLND）由于转移性生殖细胞肿瘤的患者。4例患者采用人工移植物进行IVC重建。所有4例患者均预防了术后早期腿部水肿。3例患者维持了长期的移植物通畅性，中位随访19个月（范围13-55个月），无慢性静脉疾病。在第四例患者中，在随访期间观察到移植物闭塞，这是由复发性肿瘤压迫移植物引起的。我们的结论是，当在PC-RPLND期间需要切除IVC时，用人工移植物置换可以防止术后立即出现腿部水肿和随后的慢性静脉功能不全。泌尿学73：442.e17-442.e19，2009年。(C)2009爱思唯尔公司
We present our experience with inferior vena cava (IVC) reconstruction in patients undergoing post-chemotherapy retroperitoneal lymph node dissection (PC-RPLND) due to metastatic germ cell tumor. Four patients underwent IVC reconstruction with a prosthetic graft. Early postoperative leg edema was prevented in all 4. Long-term graft patency was maintained in 3 patients, who remained free of chronic venous disorders fora median follow-up of 19 months (range of 13-55 months). In a fourth patient, graft occlusion was noted during follow up, caused by compression of the graft by a recurrent tumor. We conclude that when resection of the IVC is indicated during PC-RPLND, replacement by a prosthetic graft may prevent immediate postoperative leg edema and later chronic venous insufficiency. UROLOGY 73: 442.e17-442.e19, 2009. (C) 2009 Elsevier Inc.