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.

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

Budd-Chiari syndrome due to segmental obstruction of the inferior vena cava successfully managed with endovascular stenting

MedPharmRes ◽  
2018 ◽  
Vol 2 (3) ◽  
pp. 22-26
Author(s):  
Uyen Vo ◽  
Duc Quach ◽  
Luan Dang ◽  
Thao Luu ◽  
Luan Nguyen
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Laboratory Data ◽  
Transaminase Level ◽  
Vena Cava ◽  
Budd Chiari Syndrome ◽  
Endovascular Stenting ◽  
Massive Ascites ◽  
Chiari Syndrome ◽  
History Of

Budd–Chiari syndrome (BCS), a rare and life-threatening disorder due to hepatic venous outflow obstruction, is occasionally associated with hypoproteinemia. We herein report the first case of BCS with segmental obstruction of the intrahepatic portion of inferior vena cava (IVC) and hepatic veins (HVs) successfully treated by endovascular stenting in Vietnam. A 32-year-old female patient presented with a 2-month history of massive ascites and leg swelling. She refused history of oral contraceptives use. Hepatosplenomegaly without tenderness was noted. Laboratory data showed polycythemia, mild hypoalbuminemia and hypoproteinemia, slightly high total bilirubin and normal transaminase level. The serum ascites albumin gradient was 1.9 g/dL and ascitic protein level was 1.1 g/dL. The other data were normal. BCS was suspected because of the discrepancy between mild liver failure and massive ascites; and the presence of hepatosplenomegaly and polycythemia. On abdominal magnetic resonance imaging, the segmental obstruction of three HVs and IVC was 2-3 cm long without thrombus. Cavogram revealed the severe segmental stenosis of intrahepatic portion of IVC with no visualized HV and extensive collateral veins. A Protégé stent was deployed to IVC. Leg swelling and ascites were completely resolved within 3 days after stenting. During 1-year follow-up, edema was not recurred and repeated laboratory results were all normal.

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.

scholarly journals Hemopericardium and Cardiac Tamponade Secondary to Migrated Inferior Vena Cava Filter

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Jeet J. Mehta ◽  
Benjamin DeMarco ◽  
John P. Vavalle ◽  
Khola S. Tahir ◽  
Joseph S. Rossi
Keyword(s):  
Inferior Vena Cava ◽  
Cardiogenic Shock ◽  
Cardiac Tamponade ◽  
Inferior Vena Cava Filter ◽  
Inferior Vena ◽  
Vena Cava ◽  
Vena Cava Filter ◽  
Filter Placement ◽  
History Of ◽  
The Right

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. A multidisciplinary meeting resulted in deferring further action against the embedded fractured legs of the filter with consideration of the patient’s age and comorbidities. This case report should alert clinicians to think about hemopericardium as a cause of cardiac tamponade and cardiogenic shock in a patient with a history of an inferior vena cava filter placement.

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