Cancer Urology

Онкоурология

1726-97761996-1812

Publishing House ABV Press

1683

10.17650/1726-9776-2023-19-3-146-152

REVIEWS

ОБЗОРЫ

Surgical access in treatment of kidney cancer complicated by tumor thrombosis of the inferior vena cava and right atrium

Хирургические доступы при лечении рака почки, осложненного опухолевым тромбозом нижней полой вены и правого предсердия

https://orcid.org/0000-0002-3904-6415

Komarov

R. N.

Комаров

Р. Н.

China

Department of Cardiovascular Surgery, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University).

Build. 1, 6 Bol’shaya Pirogovskaya St., Moscow 119435

Кафедра сердечно-сосудистой хирургии Института профессионального образования ФГАОУ ВО ПМГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет).

119435 Москва, ул. Большая Пироговская, 6, стр. 1

https://orcid.org/0000-0001-7787-1240

Rapoport

L. M.

Рапопорт

Л. М.

Russian Federation

Build. 1, 2 Bol’shaya Pirogovskaya St., Moscow 119435

119435 Москва, ул. Большая Пироговская, 2, стр. 1

https://orcid.org/0000-0002-5080-0247

Shao

Шао

М.

Russian Federation

Minchen Shao - Department of Cardiovascular Surgery, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University).

Build. 1, 6 Bol’shaya Pirogovskaya St., Moscow 119435

Шао Минчэнь - аспирант кафедры сердечно-сосудистой хирургии Института профессионального образования ФГАОУ ВО ПМГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет).

119435 Москва, ул. Большая Пироговская, 6, стр. 1

baiminger@hotmail.com

https://orcid.org/0000-0002-2252-7773

Tkachev

M. I.

Ткачёв

М. И.

Russian Federation

Department of Cardiovascular Surgery, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University).

Build. 1, 6 Bol’shaya Pirogovskaya St., Moscow 119435

119435 Москва, ул. Большая Пироговская, 6, стр. 1

https://orcid.org/0000-0003-4094-8771

Tlisov

B. M.

Тлисов

Б. М.

Russian Federation

Department of Cardiovascular Surgery, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University).

Build. 1, 6 Bol’shaya Pirogovskaya St., Moscow 119435

119435 Москва, ул. Большая Пироговская, 6, стр. 1

Zavaruev

A. V.

Заваруев

А. В.

Russian Federation

Department of Hospital Surgery with a course of Children’s Surgery, Amur State Medical Academy.

95 Gor’kogo St., Blagoveshchensk 675001

Кафедра госпитальной хирургии с курсом детской хирургии ФГБОУ ВО «АГМА» Минздрава России.

675001 Благовещенск, ул. Горького, 95

https://orcid.org/0000-0001-7381-7925

Simonyan

A. O.

Симонян

А. О.

Russian Federation

Department of Cardiovascular Surgery, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University).

Build. 1, 6 Bol’shaya Pirogovskaya St., Moscow 119435

119435 Москва, ул. Большая Пироговская, 6, стр. 1

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)

R.M. Fronshtein Urology Clinic, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Клиника урологии им. Р.М. Фронштейна ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)

Amur State Medical AcademyФГБОУ ВО «Амурская государственная медицинская академия» Минздрава России

17112023

193

1461520604202304072023

https://oncourology.abvpress.ru/oncur/article/view/1683

This article discusses the choice of surgical access in renal cancer complicated by tumor thrombus with invasion into the inferior vena cava and the right atrium. This clinical scenario poses a major challenge to the surgeons, as tumor thrombus can obstruct access to the surgical area and increase the risk of complications. This article discusses various surgical access techniques that can be used in treatment of kidney cancer complicated by tumor thrombus of the inferior vena cava and right atrium, including open surgery, robotic surgery, and minimally invasive techniques. An analysis of factors to consider in selection of the optimal surgical access was perfomed.

В статье подробно рассмотрен вопрос выбора хирургического доступа для лечения рака почки, осложненного опухолевым тромбозом с инвазией в нижнюю полую вену и правое предсердие. Такая клиническая ситуация представляет серьезную проблему для хирургов, поскольку опухолевый тромбоз может препятствовать доступу к операционной области и повышать риск осложнений. Проведен анализ различных методов хирургического доступа, включая открытое вмешательство, роботическую операцию и минимально инвазивные операции, которые могут быть использованы для лечения рака почки, осложненного тромбозом нижней полой вены и правого предсердия. Проведен поиск и обсуждение факторов, которые необходимо учитывать при выборе оптимального хирургического доступа.

kidney cancertumor thrombosisright atriumvena cavasurgical access

рак почкиопухолевый тромбозправое предсердиеполая венахирургический доступ

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