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Removal of the Tumor Thrombus from the Right Atrium without Extracorporeal Circulation: Emphasis on the Displacement of the Tumor Apex
المؤلفون المشاركون
Khareba, Gennadiy
Lesovoy, Vladimir
Harahatyi, A. I.
Maltsev, A. V.
Polyakov, M. M.
Stetsyshyn, R. V.
Kopytsya, M. P.
Mozzhakov, P. V.
Makovozov, O. O.
Shchukin, Dmytro
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-18
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objectives.
To assess the outcomes of cavoatrial tumor thrombus removal using the liver transplantation technique for thrombectomy, a retrospective study was conducted.
Materials and Methods.
Five patients with atrial tumor thrombi who underwent piggy-back mobilization of the liver, surgical access to the right atrium from the abdominal cavity, and external manual repositioning of the thrombus apex below the diaphragm (milking maneuver) were included into the study.
Extracorporeal circulation was used in none of the cases.
The average length of the atrial component of the tumor was 20.0 ± 11.7 mm (10 to 35 mm), and the width was 14.8 ± 8.5 mm (10 to 30 mm).
In this work, the features of patients and surgical interventions as well as perioperative complications and mortality were analyzed.
Results.
External manual repositioning of the tumor thrombus apex below the diaphragm was successfully performed in all patients.
Tumor thrombi with the length of the atrial part up to 1.5 cm were removed through the extrapericardial approach.
For evacuation of the thrombi with the large atrial part (3.0 cm or more), a transpericardial surgical approach was required.
Specific complications associated with the access to the right atrium from the abdominal cavity (paresis of the right phrenic nerve, pneumothorax, and mediastinitis) were not detected in any case.
The average clamping time of the supradiaphragmatic inferior vena cava (IVC) was 6.3 ± 4.6 min.
The volume of intraoperative blood loss varied from 2500 to 5600 ml (an average of 3675 ± 1398.5 ml).
Conclusion.
Our work represents the initial experience in the liver transplantation technique for thrombectomy in distinct and well-selected patients with atrial tumor thrombi.
The effectiveness of this approach needs further study.
The video presentation of our research took place in March 2019 at the 34th Annual EAU Congress in Barcelona.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shchukin, Dmytro& Lesovoy, Vladimir& Khareba, Gennadiy& Harahatyi, A. I.& Maltsev, A. V.& Polyakov, M. M.…[et al.]. 2020. Removal of the Tumor Thrombus from the Right Atrium without Extracorporeal Circulation: Emphasis on the Displacement of the Tumor Apex. Advances in Urology،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1130646
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shchukin, Dmytro…[et al.]. Removal of the Tumor Thrombus from the Right Atrium without Extracorporeal Circulation: Emphasis on the Displacement of the Tumor Apex. Advances in Urology No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1130646
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shchukin, Dmytro& Lesovoy, Vladimir& Khareba, Gennadiy& Harahatyi, A. I.& Maltsev, A. V.& Polyakov, M. M.…[et al.]. Removal of the Tumor Thrombus from the Right Atrium without Extracorporeal Circulation: Emphasis on the Displacement of the Tumor Apex. Advances in Urology. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1130646
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1130646
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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