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 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

scholarly journals Combined liver and inferior vena cava resection with reconstruction using artificial vascular graft for liver tumors

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S404-S405 ◽  
Author(s):  
Y. Tomimaru ◽  
H. Eguchi ◽  
Y. Iwagami ◽  
H. Wada ◽  
K. Goto ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Vascular Graft ◽  
Inferior Vena ◽  
Liver Tumors ◽  
Vena Cava ◽  
Inferior Vena Cava Resection

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.

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 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.

scholarly journals Inferior vena cava resection without reconstruction for retroperitoneal malignancies

2019 ◽  
Vol 2019 (10) ◽  
Author(s):  
Lorenzo Cocchi ◽  
Stefano Di Domenico ◽  
Sergio Bertoglio ◽  
Elio Treppiedi ◽  
Gianluca Ficarra ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Radical Surgery ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Prospective Data ◽  
Inferior Vena Cava Resection ◽  
Small Series ◽  
Radiologic Imaging ◽  
Ivc Resection

ABSTRACT Inferior vena cava (IVC) involvement in retroperitoneal malignancies is a rare occurrence and radical surgery with major vascular resection represents the only potential curative treatment. IVC replacement after resection is still controversial and only small series and few prospective data are available. We report a series of three patients affected by retroperitoneal masses involving IVC treated with vena cava resection without replacement. All patients were treated by a radical R0 surgical procedure associated with infrarenal IVC resection and no reconstruction. Based on preoperative radiologic imaging and intraoperative findings, one patient also underwent right nephrectomy, while another patient underwent left renal vein ligation without nephrectomy. Neither early nor late severe post-operative complications related to the absence of IVC outflow were observed. Resection without replacement of the infrarenal IVC results in acceptable morbidity, thus specific risks related to the use of prosthetic grafts can be avoided.

scholarly journals Inferior Vena Cava Resection and Reconstruction for Retroperitoneal Tumor Excision

2011 ◽  
Vol 54 (2) ◽  
pp. 590
Author(s):  
William Quinones-Baldrich ◽  
Ali Alktaifi ◽  
Fritz Eilber ◽  
Frederick Eilber
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Retroperitoneal Tumor ◽  
Tumor Excision ◽  
Inferior Vena Cava Resection
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