title: Combined hepatic resection with the inferior vena cava and diaphragm and reconstruction using an equine pericardial patch: report of a case.
abstract: We herein report a case of combined hepatic resection with inferior vena cava (IVC) and diaphragm resection, and reconstruction using an equine pericardial patch. A 54-year-old woman showed hepatic cancer recurrence on radiological imaging, with invasion to the caudate lobe of the liver, IVC, diaphragm, and adrenal gland. We resected 10 × 5 cm of the diaphragm. After dissecting the hepatic parenchyma, the caudate lobe was connected only to the IVC. Clamping of the IVC was performed between the IVC below the confluence of the hepatic vein and the suprarenal IVC. A 6 × 3-cm segment of the IVC was then resected. The IVC and diaphragm were reconstructed using an equine pericardial patch, as both defects were too large to repair without a patch. The equine pericardium represents a suitable graft material for repairing both the IVC and diaphragm. Further investigation is needed to determine the durability and anti-infection properties of equine pericardial grafts.
authors.affiliation: Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro, Tokyo, 153-8515, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Asai
authors.forename: Manabu
authors.initials: M
authors.lastname: Watanabe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsukiyo
authors.forename: Akihiro
authors.initials: A
authors.lastname: Osawa
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Saito
authors.forename: Takaharu
authors.initials: T
authors.lastname: Kiribayashi
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Enomoto
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Okamoto
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Saida
authors.forename: Shinya
authors.initials: S
authors.lastname: Kusachi
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Oharaseki
authors.forename: Jiro
authors.initials: J
authors.lastname: Nagao
mesh_terms: D000818:Animals; D001807:Blood Vessel Prosthesis; D003964:Diaphragm / Q000473:pathology / Q000601:surgery*; D005260:Female; D006736:Horses; D006801:Humans; D008099:Liver / Q000473:pathology / Q000601:surgery*; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local; D010496:Pericardium / Q000637:transplantation*; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*