title: Vascular Reconstruction in Hepatic Malignancy.
abstract: With surgery for hepatic malignancy, there are poor options for chemotherapy; many patients are deemed unresectable because of vascular involvement or location of tumors. Over the past few decades, advances in surgical technique have allowed resection of these tumors with vascular reconstruction to achieve negative margins and improve chances for survival. This article reviews those reconstruction techniques and outcomes in detail, including in situ perfusion and ex vivo liver surgery, and provides a discussion of implications and operative planning for patients with hepatic malignancy in order to provide surgeons with better understanding of these complicated operations.
authors.affiliation: Division of Transplantation and Hepatobiliary Surgery, University of California San Diego, 9300 Campus Point Drive, #7745, La Jolla, CA 92037, USA. Electronic address: jberumen@ucsd.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Berumen
authors.affiliation: Division of Transplantation and Hepatobiliary Surgery, University of California San Diego, 9300 Campus Point Drive, #7745, La Jolla, CA 92037, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Hemming
mesh_terms: D006498:Hepatectomy / Q000379:methods*; D006499:Hepatic Artery / Q000601:surgery; D006503:Hepatic Veins / Q000601:surgery; D006801:Humans; D008099:Liver / Q000098:blood supply* / Q000601:surgery*; D008113:Liver Neoplasms / Q000601:surgery*; D011169:Portal Vein / Q000601:surgery; D014656:Vascular Surgical Procedures; D014682:Vena Cava, Inferior / Q000601:surgery
keywords: Ex vivo liver surgery; IVC reconstruction; Portal vein reconstruction; Vascular reconstruction