作者在本文中报告了1981～1989年期间对腔静脉心房受侵的肾细胞癌病人的处理经验。作者共治疗肾细胞癌侵犯腔静脉心房的病人10例,其中在深低温和完全阻止循环下行Ⅰ期根治性切除术者7例,包括男3例,女4例,平均年龄62岁。癌肿位于左右侧者分别为4例和3例。无一病人有下腔静脉(IVC)梗阻的症状和体征。 In this article, the authors reported on the treatment experience of patients with renal cell carcinoma affected by atrial and cava in 1981-1989. The authors treated a total of 10 cases of renal cell carcinoma invading the vena cava atrium, of which 7 cases were in deep hypothermia and completely prevented the circulation of a radical resection of stage I, including 3 males and 4 females, with an average age of 62 years. There were 4 cases and 3 cases of cancer on the left and right sides, respectively. None of the patients had symptoms and signs of inferior vena cava (IVC) obstruction.