[Liver tumors around the vena cava. Strategy for surgical approach of segments I and IX].
The technical problems raised by the delicate surgery of tumours of the liver developing around the vena cava, with and without invasion of segments I and IX was studied on the basis of 7 cases reports. The intra- or extra-hepatic pedicule route, the denudation of the entire retrohepatic vena cava, and the clamping needed for exsanguinous surgery are presented together with future perspectives including 3-D liver imaging, stimulation of liver regeneration potential and ex-vivo techniques are discussed with the aim of more and more carcinological liver surgery.
Joyeux
H
H
Services de Chirurgie Digestive et de Radio-diagnostic, Institut Curie, Paris.
Matias
J
J
Estève
M
M
Briand
D
D
Spiliotis
J
J
Servois
V
V
Foucou
B
B
D000368:Aged; D005260:Female; D006498:Hepatectomy / Q000379:methods* / Q000639:trends; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014684:Venae Cavae
Les tumeurs du foie autour de la veine cave. Stratégie d'abord chirurgical des segments I et IX.