Combined liver and inferior vena cava resection for hepatic malignancy

Spiros G. Delis, Juan Madariaga, Gaetano Ciancio

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: The experience from a single center, in combined liver and inferior vena cava (IVC) resection for liver tumors, is presented. Methods: Twelve patients underwent a combined liver resection with IVC replacement. The median age was 45 years (range 35-67 years). Resections were carried out for hepatocellular carcinoma (n = 4), colorectal metastases (n = 6), and cholangiocarcinoma (n = 2). Liver resections included eight right lobectomies and four left trisegmentectomies. The IVC was reconstructed with ringed Gore-Tex tube graft. Results: No perioperative deaths were reported. The median operative blood transfusion requirement was 2 units (range 0-12 units) and the median operative time was 5 hr. Median hospital stay was 10 days (range 8-25 days). Three patients had evidence of postoperative liver failure, resolved with supportive management. Two patients developed bile leaks, resolved conservatively. With a median follow up of 24 months, all vascular reconstructions were patent and no evidence of graft infection was documented. Conclusions: Aggressive surgical management of liver tumors, offer the only hope for cure or palliation. We suggest that liver resection with vena cava replacement may be performed safely, with acceptable morbidity, by specialized surgical teams.

Original languageEnglish
Pages (from-to)258-264
Number of pages7
JournalJournal of Surgical Oncology
Volume96
Issue number3
DOIs
StatePublished - Sep 1 2007

Fingerprint

Inferior Vena Cava
Liver
Neoplasms
Transplants
Venae Cavae
Cholangiocarcinoma
Liver Failure
Operative Time
Bile
Blood Transfusion
Blood Vessels
Hepatocellular Carcinoma
Length of Stay
Neoplasm Metastasis
Morbidity
Infection

Keywords

  • Hepatic metastases
  • Hepatic resection
  • Hepatocellular carcinoma
  • Vascular exclusion
  • Vena cava

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Combined liver and inferior vena cava resection for hepatic malignancy. / Delis, Spiros G.; Madariaga, Juan; Ciancio, Gaetano.

In: Journal of Surgical Oncology, Vol. 96, No. 3, 01.09.2007, p. 258-264.

Research output: Contribution to journalArticle

Delis, Spiros G. ; Madariaga, Juan ; Ciancio, Gaetano. / Combined liver and inferior vena cava resection for hepatic malignancy. In: Journal of Surgical Oncology. 2007 ; Vol. 96, No. 3. pp. 258-264.
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