[Surgical treatment of hepatic cancer invading inferior vena cava].
OBJECTIVE
To explore the surgical manipulation off the inferior vena cava (IVC) in the hepatic cancer invading IVC in order to increase the resection rate and operative safety.


METHODS
The clinical data of 29 cases of hepatic cancer invading IVC, 25 males and 4 females, aged 42.45 (4 - 60) who underwent resection of the tumor January 1996 - September 2005 were analyzed retrospectively.


RESULTS
The operation patterns related to the IVC included partial excision and repair of the IVC (in 25 cases) and resection of the tumor and withdrawal of the tumor thrombus (in 4 cases with tumor thrombus in IVC). All the operations were successful without operative death and major complications.


CONCLUSIONS
Radical resection can be used in selected patients with hepatic cancer invading IVC. Safe, effective, and practical, resection and reconstruction of IVC increases the excision rate of hepatic cancer remarkably.
Li
Ai-jun
AJ
Eastern Hepatobiliary Hospital, Second Military Medical University, Shanghai 200438, China.
Wu
Meng-chao
MC
Zhou
Wei-ping
WP
Yang
Jia-mei
JM
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D012189:Retrospective Studies; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*