scholarly journals Hepatic Vein and Inferior Vena Cava Reconstruction during Hepatic Surgery Resection for Cancer

2021 ◽  
Vol 5 (2) ◽  
pp. 14-16
Author(s):  
Danilo Coco ◽  
Silvana Leanza
Keyword(s):  
Liver Resection ◽  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Liver Tumors ◽  
Vena Cava ◽  
Diagnostic Methods ◽  
Donor Organ ◽  
Surgical Interventions ◽  
Medical Specialists

Invasion of tumor in the liver requires surgical interventions that may reduce the effects or may eliminate the tumor-affected cells. The renewal of the hepatic vein and inferior vena cava has enabled most specialized oncologists and medical specialists to use advanced diagnostic methods in the treatment of the liver tumors. Liver resection has prolonged the lives of many patients and the invention of live donor organ transplants has effectively enabled the use of liver resection in most cancer centers across the world. By reviewing data from 10 articles, 21 surgical analyses were investigated and analyzed for the risks involved in the applications of reconstructions of hepatic vein and inferior vena cava in the surgical liver resection. The postoperative complications and the indications of reconstructions were mentioned. The results indicated that with these surgical procedures, complications are still involved but may be successful for particular patients.

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.

scholarly journals Safety and Efficacy of Inferior Vena Cava Reconstruction During Hepatic Resection

2018 ◽  
Vol 108 (3) ◽  
pp. 194-200 ◽  
Author(s):  
M. Papamichail ◽  
K. Marmagkiolis ◽  
M. Pizanias ◽  
C. Koutserimpas ◽  
N. Heaton
Keyword(s):  
Liver Resection ◽  
Inferior Vena Cava ◽  
Hepatic Resection ◽  
Inferior Vena ◽  
Liver Tumors ◽  
Vena Cava ◽  
Patch Repair ◽  
Term Survival ◽  
Safety And Efficacy ◽  
Inferior Vena Cava Resection

Background and Aims: Patients with liver tumors involving the inferior vena cava have a poor outcome without surgery. Liver resection en bloc with inferior vena cava resection and reconstruction is now performed in many centers. The purpose of this study is to investigate the safety and efficacy of inferior vena cava reconstruction during hepatic resection. Materials and Methods: A review of 12 centers reporting 240 patients with combined hepatectomy and inferior vena cava resection and reconstruction for malignant tumors was performed. Sample size, patient characteristics, histological type of the tumor, method of reconstruction, complications, and long-term survival (1-, 2-, and 5-year survival) were evaluated. Results: A total of 240 patients from 12 institutions (male 58%) with mean age 54 years underwent combined liver resection and inferior vena cava resection and reconstruction for colorectal liver metastases (43%), cholangiocarcinomas (26%), hepatocellular carcinomas (19%), leiomyosarcomas (4%), and other tumors (7.9%). Reconstruction included primary closure (35.8%), patch repair (13.3%), or interposition graft (50.8%) In-hospital mortality was 6.25% and overall morbidity was 42.1%. 1- and 10-year survival rates were 79.7% and 28.9%, respectively. Conclusion: Tumors arising in or extending to inferior vena cava that require liver resection should be considered for surgery as it can be performed with an acceptable mortality and morbidity in centers with liver transplantation and hepato-pancreato-biliary facilities.

Surgical Resection of Tumors Invading the Inferior Vena Cava at the Hepatic Vein and Thoracic Levels

2021 ◽  
Author(s):  
Justin Issard ◽  
Antonio Sa Cunha ◽  
Dominique Fabre ◽  
Delphine Mitilian ◽  
Sacha Mussot ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Surgical Resection ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Vena Cava

scholarly journals Regression of tumor thrombus in the suprahepatic vena cava of hepatocellular carcinoma and conversion hepatectomy induced by lenvatinib

Liver Cancer ◽  
2021 ◽  
Author(s):  
Ryota Matsuki ◽  
Naohiro Okano ◽  
Takaaki Arai ◽  
Shinya Yoshiike ◽  
Masaharu Kogure ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Extracorporeal Circulation ◽  
Tumor Thrombus ◽  
Inferior Vena ◽  
Vena Cava ◽  
Advanced Hepatocellular Carcinoma ◽  
Conversion Surgery ◽  
First Case

Abstract Recent developments in systemic chemotherapy for advanced hepatocellular carcinoma have been outstanding. However, reports on conversion surgery after lenvatinib therapy are scarce. We present the first case of advanced hepatocellular carcinoma with tumor thrombus in the suprahepatic vena cava close to the right atrium, which shrank after 12 weeks’ administration of lenvatinib, thereby leading to successful conversion surgery without using total vascular exclusion or extracorporeal circulation. The treatment strategy for hepatocellular carcinoma with macroscopic hepatic vein tumor thrombus is controversial, however, from a Japanese nationwide survey, surgical resection has been accepted as one of the treatment options for advanced hepatocellular carcinoma with hepatic vein tumor thrombus in Japan. However, the survival rate after resection of hepatocellular carcinoma having inferior vena cava tumor thrombus with extracorporeal circulation was reported to be worse than without extracorporeal circulation, and some preoperative down-sizing therapy for inferior vena cava tumor thrombus was advocated. Preoperative lenvatinib therapy might be a promising option among the multidisciplinary treatments for hepatocellular carcinoma with macroscopic tumor thrombus in the hepatic veins.

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
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