[Resection and replacement of the retrohepatic vena cava in partial hepatectomy].
An extended right lobectomy with complete resection of the caudate lobe and the retrohepatic vena cava for the treatment of involving primary malignancy of the liver was performed in two 63- and 66-year-old male patients. Vena cava replacement was secured by a 20 mm inner diameter externally stented polytetrafluoroethylene graft. No postoperative complication was observed, and both patients were alive with patent graft and no sign of recurrence, 20 and 2 months after the operation respectively. Seventeen cases of combined hepatic resection and vena cava replacement have been reported. The review of the literature showed that: these challenging hepatectomies have benefited from liver transplantation techniques; patency of prosthetic vena cava replacement is correct; and prolonged survival can be obtained by such extended hepatic resection.
Le Treut
Y P
YP
Service de Chirurgie digestive, Hôpital de La Conception, Marseille.
Giudici
P
P
Betances
L
L
Berthet
B
B
Beaussieu
C
C
D001650:Bile Duct Neoplasms / Q000601:surgery; D001653:Bile Ducts, Intrahepatic; D001807:Blood Vessel Prosthesis; D018281:Cholangiocarcinoma / Q000601:surgery; D006498:Hepatectomy / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D014682:Vena Cava, Inferior / Q000601:surgery*
Résection et remplacement de la veine cave supra-rénale au cours des hépatectomies partielles.