Side-to-side cavocavostomy with an endovascular stapler: Rescue technique for severe hepatic vein and/or inferior vena cava outflow obstruction after liver transplantation using the piggyback technique

2009 ◽  
Vol 15 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Cristiano Quintini ◽  
Charles M. Miller ◽  
Koji Hashimoto ◽  
Ding Philip ◽  
Teresa Diago Uso ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Vena Cava ◽  
Outflow Obstruction ◽  
Rescue Technique ◽  
Endovascular Stapler

scholarly journals Segmental Liver Transplantation From Living Donors Report of the Technique and Preliminary Results in Dogs

HPB Surgery ◽  
1990 ◽  
Vol 2 (3) ◽  
pp. 189-204 ◽  
Author(s):  
Daniel Cherqui ◽  
Jean C. Emond ◽  
Andrea Pietrabissa ◽  
Mireille Michel ◽  
Manuela Roncella ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Bile Duct ◽  
Inferior Vena Cava ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Vena Cava ◽  
Living Donors ◽  
Left Lobe ◽  
The Other ◽  
Left Hepatic Vein

A technique of orthotopic liver transplantation using a segmental graft from living donors was developed in the dog. Male mongrel dogs weighing 25–30 kg were used as donors and 10–15 kg as recipients. The donor operation consists of harvesting the left lobe of the liver (left medial and left lateral segments) with the left branches of the portal vein, hepatic artery and bile duct, and the left hepatic vein. The grafts are perfused in situ through the left portal branch to prevent warm ischemia. The recipient operation consists of two phases: 1total hepatectomy with preservation of the inferior vena cava using total vascular exclusion of the liver and veno-venous bypass, 2implantation of the graft in the orthotopic position with anastomosis of the left hepatic vein to the inferior vena cava and portal, arterial and biliary reconstruction. Preliminary experiments consisted of four autologous left lobe transplants and nine non survival allogenic left lobe transplants. Ten survival experiments were conducted. There were no intraoperative deaths in the donors and none required transfusions. One donor died of sepsis, but all the other donor dogs survived without complication. Among the 10 grafts harvested, one was not used because of insufficient bile duct and artery. Two recipients died intraoperatively of air embolus and cardiac arrest at the time of reperfusion. Three dogs survived, two for 24 hours and one for 48 hours. They were awake and alert a few hours after surgery, but eventually died of pulmonary edema in 2 cases and of an unknown reason in the other. Four dogs died 2–12 hours postoperatively as a result of hemorrhage for the graft's transected surface. An outflow block after reperfusion was deemed to be the cause of hemorrhage in these cases. On histologic examination of the grafts, there were no signs of ischemic necrosis or preservation damage.This study demonstrates the technical feasibility of living hepatic allograft donation. It shows that it is possible, in the dog, to safely harvest non ischemic segmental grafts with adequate pedicles without altering the vascularization and the biliary drainage of the remaining liver. We propose that this technique is applicable to human anatomy.

Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report

2004 ◽  
Vol 8 (6) ◽  
pp. 576-580 ◽  
Author(s):  
Francisco Cesar Carnevale ◽  
Marcus Vinicius Borges ◽  
Ricardo Augusto de Paula Pinto ◽  
José Luiz Oliva ◽  
Wagner de Castro Andrade ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Inferior Vena Cava ◽  
Endovascular Treatment ◽  
Hepatic Vein ◽  
Inferior Vena ◽  
Vena Cava

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

Can Coronary Vein Size Predict Hemodynamic Instability During Inferior Vena Cava Clamping in Liver Transplantation?

2014 ◽  
Vol 46 (3) ◽  
pp. 692-695 ◽  
Author(s):  
C.-E. Huang ◽  
S.-C. Yang ◽  
C.-L. Chen ◽  
Y.-F. Cheng ◽  
K.-W. Cheng ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Hemodynamic Instability ◽  
Coronary Vein

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.

Sign in / Sign up

Export Citation Format

Share Document