scholarly journals Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection

2021 ◽  
Author(s):  
Jaume Tur-Martínez ◽  
Èric Herrero-Fonollosa ◽  
María Isabel García-Domingo ◽  
Judith Camps-Lasa ◽  
Laura Sobrerroca-Porras ◽  
...  
Keyword(s):  
Liver Resection ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Isolated Segment ◽  
Caudal Approach

scholarly journals Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection.

2021 ◽  
Author(s):  
Jaume Tur-Martínez ◽  
Èric Herrero-Fonollosa ◽  
María Isabel García-Domingo ◽  
Judith Camps-Lasa ◽  
Laura Sobrerroca-Porras ◽  
...  
Keyword(s):  
Liver Resection ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Laparoscopic Technique ◽  
Positron Emission ◽  
Advanced Laparoscopy ◽  
Isolated Segment ◽  
History Of ◽  
Caudal Approach

Abstract Introduction:Isolated segment 1 laparoscopic liver resection is a very challenging procedure. Very few references are available about this laparoscopic technique, so the aim of this article is to show the main technical aspects of laparoscopic caudal approach for segment 1.Material and Methods: A 64 years old woman with a past medical history of a breast cancer previously operated (pT1N0M0, with positive hormonal receptors). Adjuvant treatment was done with radiotherapy and hormone-therapy (Tamoxifen). After 12 months of follow-up, a 18 mm single liver metastasis was detected in the segment 1, suggestive of metastatic disease. A complementary study was done with Magnetic Resonance Image, Computed Tomography and Positron Emission Tomography, without other lesions proven. Result:A laparoscopic resection of isolated liver segment 1 is performed with a caudal approach of the inferior vena cava. All the steps are carefully described. The surgery time was 120 minutes and the blood loss was less than 100 ml. No postoperative complications were registered. The patient was discharged on the third postoperative day.Conclusion:Liver 1 segment resection by laparoscopy with a caudal approach of the inferior vena cava is a secure technique in selected patients and it should be performed in experienced liver surgery and advanced laparoscopy centers, because of its high complexity.

Liver resection with concomitant inferior vena cava resection: experiences without veno-venous bypass

Surgery Today ◽  
2013 ◽  
Vol 44 (6) ◽  
pp. 1063-1071 ◽  
Author(s):  
Stefan Stättner ◽  
Vincent Yip ◽  
Robert P. Jones ◽  
Carmen Lacasia ◽  
Stephen W. Fenwick ◽  
...  
Keyword(s):  
Liver Resection ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Venous Bypass ◽  
Inferior Vena Cava Resection

scholarly journals Liver resection combined with inferior vena cava resection and reconstruction using artificial vascular graft: A literature review

2018 ◽  
Vol 2 (3) ◽  
pp. 182-186 ◽  
Author(s):  
Yoshito Tomimaru ◽  
Hidetoshi Eguchi ◽  
Hiroshi Wada ◽  
Yuichiro Doki ◽  
Masaki Mori ◽  
...  
Keyword(s):  
Liver Resection ◽  
Literature Review ◽  
Inferior Vena Cava ◽  
Vascular Graft ◽  
Inferior Vena ◽  
Vena Cava ◽  
Inferior Vena Cava Resection

Surgical Outcomes of Liver Resection Combined with Inferior Vena Cava Resection and Reconstruction with Artificial Vascular Graft

2018 ◽  
Vol 36 (6) ◽  
pp. 502-508 ◽  
Author(s):  
Yoshito Tomimaru ◽  
Hidetoshi Eguchi ◽  
Hiroshi Wada ◽  
Yuichiro Doki ◽  
Masaki Mori ◽  
...  
Keyword(s):  
Liver Resection ◽  
Inferior Vena Cava ◽  
Surgical Outcomes ◽  
Vascular Graft ◽  
Inferior Vena ◽  
Liver Tumors ◽  
Vena Cava ◽  
Bile Leakage ◽  
Inferior Vena Cava Resection ◽  
Ivc Resection

Background/Aim: Inferior vena cava (IVC) resection and reconstruction with concomitant liver resection sometimes represent the only chance for patients with liver tumors involving the IVC to get cured. However, surgical outcomes of liver resection with IVC resection and reconstruction using an artificial vascular graft have not been well investigated. Methods: Out of a total of 1,179 cases, only 12 involving liver resection between 1998 and 2016 at our institution included IVC resection and reconstruction using an artificial vascular graft. An expanded polytetrafluoroethylene graft was used for the IVC reconstruction in all 12 cases. We investigated the surgical outcomes of these combined surgeries. Results: The median operative time was 650 min and the median blood loss was 2,600 mL. Postoperative complications (≥ grade III in the Clavien-Dindo classification) developed in 2 patients – 1 case of bleeding and one of bile leakage. There were no cases of operative mortality. No complications associated with the vascular graft were observed throughout the postoperative follow-up period, and the grafts remained patent in all cases. Conclusions: These results indicate favorable surgical outcomes of liver resection combined with IVC resection and reconstruction.

Primary Stent Angioplasty of the Inferior Vena Cava After Liver Transplantation and Liver Resection

2013 ◽  
Vol 37 (4) ◽  
pp. 949-957 ◽  
Author(s):  
Thomas J. Huber ◽  
Simone Hammer ◽  
Martin Loss ◽  
René Müller-Wille ◽  
Andreas G. Schreyer ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Resection ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Stent Angioplasty

scholarly journals Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study

2020 ◽  
Author(s):  
Xianwei Yang ◽  
Tao Wang ◽  
Junjie Kong ◽  
Bin Huang ◽  
Wentao Wang
Keyword(s):  
Retrospective Study ◽  
Liver Resection ◽  
Inferior Vena Cava ◽  
Collateral Circulation ◽  
Inferior Vena ◽  
Ex Vivo ◽  
Vena Cava ◽  
Long Term Results ◽  
Retrohepatic Inferior Vena Cava

Abstract Background: Retrohepatic inferior vena cava (RIVC) resection without reconstruction in ex vivo liver resection and autotransplantation (ERAT) for advanced alveolar echinococcosis (HAE) is unclear. Methods: This is a retrospective study of consecutive patients referred to our hospital from 2014 to 2018. Depending on the presence of a rich collateral circulation and stable blood volume in ERAT, patients did not rebuild the RIVC. Then, patients were selected some appropriate revascularization techniques for the hepatic and renal veins. Finally, all ERAT procedures were completed, and short- and long-term outcomes were observed. Results: Five advanced HAE patients underwent ERAT without RIVC reconstruction. One patient died of circulatory failure 1 day after surgery. Another four patients, with a median follow-up duration of 18 months (range, 10-25 months), demonstrated normal liver and kidney function, no thrombosis and no HAE recurrence. Conclusions: Through the long-term results of ERAT, the pros and cons of not reconstructing the RIVC need to be re-examined. In cases with a rich collateral circulation, the RIVC cannot be reconstructed. However, in cases requiring the resection of multiple organs, RIVC without reconstruction was prudential.

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