Right hepatectomy combined with retrohepatic caval resection, using a left renal vein patch graft for advanced cholangiocarcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-10

AUTHORS

Hisashi Kurosawa, Fumio Kimura, Hiroshi Ito, Hiroaki Shimizu, Akira Togawa, Masayuki Otsuka, Hiroyuki Yoshidome, Atsushi Kato, Masaru Miyazaki

ABSTRACT

Combined resection of the inferior vena cava for hepatobiliary malignancies remains a technical challenge. We successfully resected an intrahepatic cholangiocarcinoma involving the retrohepatic vena cava, and reconstructed the caval defect using a left renal vein patch graft. The patient was a 79-year-old man. Preoperative ultrasonography and computed tomography revealed that the tumor was located in the right lobe of the liver and was about 6 cm in diameter. Arteriogram revealed encasement of the right arterial and portal branches. Magnetic resonance imaging scan revealed that the tumor involved the retrohepatic vena cava. The patient underwent a right hepatectomy combined with resection of the retrohepatic vena cava. The resected portion of the caval wall was 3.6 cm long and 2.7 cm wide. The caval defect was reconstructed using a left renal vein patch graft of a rhomboid shape, which was made by oblique incision of the vein graft. The postoperative course was uneventful. Postoperative cavogram showed adequate patency of the reconstructed retrohepatic vena cava. The patient was disease-free 22 months after surgery. In conclusion, major liver resection combined with caval resection and reconstruction can be performed safely. Furthermore, a left renal vein graft can provide a flexible patch according to the form and size of the caval defect. More... »

PAGES

362-365

References to SciGraph publications

  • 2003-08-01. Extended hepatic resection and outcomes in intrahepatic cholangiocarcinoma in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2003-08-01. Intrahepatic cholangiocarcinoma: macroscopic type and stage classification in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 2003-12. Long-term survival and prognostic factors in the surgical treatment for intrahepatic cholangiocarcinoma in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • 1997-03. Intrahepatic Cholangiocarcinoma in WORLD JOURNAL OF SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00534-004-0907-6

    DOI

    http://dx.doi.org/10.1007/s00534-004-0907-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1027442771

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15549439


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