title: Repeat hepatectomy with inferior vena cava re-resection for colorectal liver metastases: case report and review of the literature.
abstract: Liver resection in patients with inferior vena cava (IVC) involvement is becoming more common with the adoption of vascular exclusion techniques and replacement of the IVC. Repeat hepatectomy and an aggressive surgical approach can offer satisfactory disease-free survival and a cure in selected patients. We herein describe a case of repeat hepatectomy with en bloc re-do IVC resection and reconstruction with Gore-Tex graft for recurrent colorectal liver disease. The patient had previously undergone non-anatomical right liver resection with IVC partial excision and reconstruction with a porcine pericardial patch. The patient is currently disease-free at 12 months' follow-up. Surgical treatment of liver tumors involving the IVC offers the only hope for prolonged survival. Re-do liver surgery with concomitant re-excision of the IVC is feasible and can be contemplated when macroscopic removal of the tumor is expected. Management of these complex cases by a specialist team with expertise in liver transplantation and vascular techniques is advised.
authors.affiliation: HPB and Transplantation Unit, St. James' Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK. gabrielemarangoni@virgilio.it.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Marangoni
authors.affiliation: HPB and Transplantation Unit, St. James' Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK.
authors.forename: Abdul
authors.initials: A
authors.lastname: Hakeem
authors.affiliation: HPB and Transplantation Unit, St. James' Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK.
authors.forename: Atif
authors.initials: A
authors.lastname: Khan
authors.affiliation: HPB and Transplantation Unit, St. James' Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK.
authors.forename: Olorunda
authors.initials: O
authors.lastname: Rotimi
authors.affiliation: HPB and Transplantation Unit, St. James' Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK. Peter.Lodge@leedsth.nhs.uk.
authors.forename: J Peter
authors.initials: JP
authors.lastname: Lodge
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002277:Carcinoma / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011138:Polytetrafluoroethylene; D012086:Reoperation; D012811:Sigmoid Neoplasms / Q000473:pathology*; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery*
chemical_list: D011138:Polytetrafluoroethylene
keywords: Colorectal liver metastases; Inferior vena cava resection; Repeat hepatectomy