[Treatment of non iatrogenic injury of retrohepatic inferior vena cava].
OBJECTIVE
To study a repair method for injured retrohepatic inferior vena cava (IVC) associated with liver trauma.


METHODS
Laceration of IVC was sutured bloodlessly after the injured retrohepatic IVC was occluded by compression combined with occlusion of the first hepatic hilus.


RESULTS
From April 1996 to January 1999, the injured IVC was successfully repaired in 6 patients. The length of laceration was 2.9 cm (1.5 - 4 cm). The occlusion time was 9.2 min (6 - 15 min) for the IVC and 20.5 min (15 - 29 min) for the first hepatic hilus, respectively. All patients recovered uneventfully, and the IVC was patency without stricture as showed by B-mode ultrasonography and CT.


CONCLUSIONS
The injured retrohepatic IVC can be repaired by direct compression when the laceration of the IVC is caused by liver trauma.
Wu
Z
Z
Liver Cancer Institute, Shanghai Medical University, Shanghai 200032, China.
Fan
J
J
Qiu
S
S
Zhou
J
J
Tang
Z
Z
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery