scholarly journals Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver

2021 ◽  
Vol 8 ◽  
Author(s):  
Evgeny Solomonov ◽  
Itamar Tzadok ◽  
Seema Biswas
Keyword(s):  
Inferior Vena ◽  
Malignant Tumors ◽  
Vena Cava ◽  
Cystic Tumor ◽  
Hepatic Veins ◽  
Natural Restriction ◽  
Surgical Access ◽  
Large Size ◽  
Cystic Liver ◽  
And Control

Introduction: Cystic liver lesions may be benign cysts, parasitic infestations, or malignant tumors requiring surgical resection. Hilar location and relation to major vasculature present challenges in conventional surgical access and resection.Materials and Methods: We describe totally robotic excision of a cystadenoma in a 55-year-old woman without complication. Time points in the accompanying video (https://youtu.be/Tn_QPgpSHA4) are embedded within the text.Results: Advantages of the robotic technique lie in overcoming the natural restriction of conventional laparoscopic instruments, easier repair, and control of intraoperative vascular injuries using EndoWrist® instruments, ergonomic dissection close to major vasculature and reduced intraoperative blood loss as dissection is easier.Discussion: Indications for robotic surgery included the large size of the cystic lesion, its intrahepatic location, and compression of the inferior vena cava (IVC) and right and middle hepatic veins. Had robotic removal of the lesion not been feasible, the entire lobe of the liver would have required resection.

Recanalization and Reconstruction of a Chronically Occluded Inferior Vena Cava Through an Existing Transjugular Intrahepatic Portosystemic Shunt in the Setting of Budd-Chiari Syndrome

2021 ◽  
pp. 153857442110020
Author(s):  
Reza Talaie ◽  
Hamed Jalaeian ◽  
Nassir Rostambeigi ◽  
Anthony Spano ◽  
Jafar Golzarian
Keyword(s):  
Inferior Vena Cava ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Inferior Vena ◽  
Vena Cava ◽  
Portosystemic Shunt ◽  
Hepatic Veins ◽  
Budd Chiari Syndrome ◽  
Chiari Syndrome ◽  
Intrahepatic Portosystemic Shunt ◽  
The Right

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.

Budd-Chiari Syndrome in Childhood Secondary to Inferior Vena Caval Obstruction

PEDIATRICS ◽  
1979 ◽  
Vol 63 (5) ◽  
pp. 808-812
Author(s):  
Arvind Taneja ◽  
S. K. Mitra ◽  
P. D. Moghe ◽  
P. N. Rao ◽  
N. Samanta ◽  
...  
Keyword(s):  
Inferior Vena ◽  
Vena Cava ◽  
Hepatic Veins ◽  
Budd Chiari Syndrome ◽  
Venous Outflow ◽  
Massive Ascites ◽  
Inferior Vena Caval ◽  
Uncommon Disease ◽  
Chiari Syndrome ◽  
Hepatic Venous Outflow

Budd-Chiari syndrome is an uncommon disease caused by an obstruction to hepatic venous outflow either at the level of the hepatic veins or in the hepatic part of the inferior vena cava. Clinically, it presents with ascites, abdominal pain, hepatomegaly, edema, and occasionally jaundice. The syndrome was first recognised by Lamboran1 in 1842 and later described by Budd2 in 1846 and Chiari3 in 1899. The syndrome is caused by obstruction to the hepatic veins. In the Fig 1. Photograph showing massive ascites and dilated superficial abdominal veins. majority of cases, the obstruction is ascribed to obliterative thrombophlebitis of unknown cause.4

Obstruction of the Inferior Vena Cava in the Hepatic Portion and the Hepatic Veins

Angiology ◽  
1968 ◽  
Vol 19 (8) ◽  
pp. 479-498 ◽  
Author(s):  
Takashi Nakamura ◽  
Shozo Nakamura ◽  
Tatsuya Aikawa ◽  
Osamu Suzuki ◽  
Atsushi Onodera ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hepatic Veins

scholarly journals Intracardiac extension of the inferior vena cavaLeiomyosarcoma with Budd-Chiari syndrome presentation: A case report

2015 ◽  
Vol 143 (1-2) ◽  
pp. 71-73
Author(s):  
Predrag Matic ◽  
Goran Vucurevic ◽  
Srdjan Babic ◽  
Slobodan Tanaskovic ◽  
Branko Lozuk ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Malignant Tumors ◽  
Vena Cava ◽  
Complete Removal ◽  
Term Result ◽  
Short Term ◽  
Short Term Result ◽  
Chiari Syndrome ◽  
Intracardiac Extension

Introduction. Leiomyosarcomas of the inferior vena cava are rare malignant tumors. A limited number of these cases have been described so far. Only few of them have intracardiac propagation and surgery is rarely undertaken for their treatment. Case Outline. We present a 52-year-old female patient in whom leiomyosarcoma of the inferior vena cava with intracardiac propagation was diagnosed. The patient underwent successful surgical treatment with complete removal of the tumor and direct suture of the inferior vena cava. No additional modalities of therapy were undertaken. Conclusion. Surgery, without radiation therapy can be a successful option for the treatment of inferior vena cava leiomyosarcoma with a good short-term result.

Reconstruction of a total avulsion of the hepatic veins and the suprahepatic inferior vena cava secondary to blunt thoracoabdominal trauma

2010 ◽  
Vol 396 (2) ◽  
pp. 261-265 ◽  
Author(s):  
Daniel Kaemmerer ◽  
Wolfgang Daffner ◽  
Martin Niwa ◽  
Thomas Kuntze ◽  
Merten Hommann
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hepatic Veins ◽  
Suprahepatic Inferior Vena Cava

A case of severe stenosis of hepatic veins and inferior vena cava with stomal variceal bleeding induced by oxaliplatin-based chemotherapy

2018 ◽  
Vol 11 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Hayato Yamaguchi ◽  
Yoshihiro Furuichi ◽  
Yoshitaka Kasai ◽  
Hirohito Takeuchi ◽  
Yuu Yoshimasu ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Variceal Bleeding ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hepatic Veins ◽  
Severe Stenosis
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