摘要
累及下腔静脉肝癌的治疗仍是医学难题,既往一直被视为手术禁忌,患者主要接受非手术治疗或放弃治疗,其生存率较低.近年来随着医学的进步,手术治疗使得这种晚期疾病由不可治变为部分可治.其预后及生存率有了较大改善,本文就累及下腔静脉肝癌的术前诊断、手术治疗及术后远期疗效做一综述.为进一步的临床规范化治疗累及下腔静脉的肝癌提供参考.
Hepatocellular carcinoma （HCC） with com- pressed inferior vena cava （IVC） or IVC tumor thrombosis （IVCTT） is an advanced-stage dis- ease that has traditionally been considered a relative contraindication for surgical manage- ment and therefore has an extremely poor prog- nosis. Non-surgical treatment for these patients can lead to tumor invasion to the right atrium, which can cause heart failure and sudden death. In recent years, the development of innovative surgical techniques has made a curative surgical approach to tumors involving both the liver and IVC possible. The purpose of this article is to re- view the progress in treatment of HCC with IVC invasion and/or thrombosis.
出处
《世界华人消化杂志》
CAS
北大核心
2013年第23期2294-2299,共6页
World Chinese Journal of Digestology
关键词
肝癌
下腔静脉
诊断
治疗
Hepatocellular carcinoma
Inferior vena cava
Diagnosis
Treatment
