[Topography of intraabdominal supra and infra-hepatic IVC and its application in hepatectomy].
Topographic study of infra-diaphragmatic and supra-hepatic IVC (ISIVC) was made in 16 fresh adult cadavers. The diameter and length of ISIVC averaged 35.94 +/- 5.68 mm and 16.87 +/- 5.14 mm respectively, hence making band-blockade of the ISIVC is practical. In clinical application, 21 cases of liver cancer involving the second or third hepatic hilus underwent lobectomy or segmentectomy with temporary band-blocking of the ISIVC, the infrahepatic IVC and the first hepatic hilus to prevent or to treat massive bleeding. In 3 of the 21 cases, the middle hepatic vein was inadvertently torn and was successfully suture repaired with this way.
Shen
W L
WL
First University Hospital, West China University of Medical Sciences, Chengdu.
Yan
L N
LN
Luo
Y G
YG
D000293:Adolescent; D000328:Adult; D000368:Aged; D000886:Anthropometry; D005260:Female; D006391:Hemangioma / Q000601:surgery; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014682:Vena Cava, Inferior / Q000033:anatomy & histology* / Q000601:surgery*