Surgical strategy and procedure of adrenocortical carcinoma with retrohepatic inferior vena cava tumor thrombus with intraoperative ultrasound guidance
10.3760/cma.j.cn113884-20220830-00349
- VernacularTitle:术中超声引导下肾上腺皮质癌伴肝后下腔静脉癌栓手术规划及流程
- Author:
Tana SIQIN
1
;
Zhihao WANG
;
Junxiang TONG
;
Weiqi RONG
;
Xuan MENG
;
Hongguang WANG
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 河北中国医学科学院肿瘤医院肝胆外科，廊坊 065001
- Keywords:
Adrenocortical carcinoma;
Inferior vena cava thrombosis;
Intraoperative ultrasound;
Inferior vena cava block technique
- From:
Chinese Journal of Hepatobiliary Surgery
2023;29(2):135-137
- CountryChina
- Language:Chinese
-
Abstract:
Adrenocortical carcinoma (ACC) with inferior vena cava thrombosis is rare and has a poor prognosis, and the current literature overwhelmingly supports aggressive surgical intervention. This article summarizes the management of a patient with ACC with inferior vena cava thrombosis, and discusses the feasibility of detailed preoperative imaging data and intraoperative ultrasound to assess the superior and inferior boundaries of ACC with inferior vena cava thrombosis, while describing the intraoperative ultrasound-guided surgical planning and procedure for ACC with retrohepatic inferior vena cava tumor thrombus. Furthermore, it also demonstrates that it is feasible to accurately assess the superior and inferior boundaries of ACC with inferior vena cava thrombosis by preoperative multimodal imaging and intraoperative ultrasound, determine the mode of flow blockage during the operation, and obtain radical resection of the tumor.
