Extended Right Hepatectomy to Inferior Vena Cava Under Total Vascular Exclusion, Veno-Venous Bypass and In Situ Hypothermic Perfusion of the Future Liver Remnant.
Fiche publication
Date publication
août 2023
Journal
Annals of surgical oncology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BACHELLIER Philippe
Tous les auteurs :
de Mathelin P, Cusumano C, Foguenne M, Bachellier P, Addeo P
Lien Pubmed
Résumé
Venous obstruction at the hepatic veins-inferior vena cava confluence can be particularly challenging to manage if an associated liver resection is needed. Total vascular exclusion (TVE) with veno-venous bypass (VVB) and hypothermic in situ perfusion (HP) of the future liver remnant can be used in these conditions. METHODS: The patient was a 58-year-old with a voluminous adrenal cancer invading the kidney, the right liver and the retrohepatic inferior vena cava with intraluminal thrombus extending up to the hepatic veins confluence. A right hepatectomy, extended to segment 1, the right kidney, and the retrohepatic inferior vena cava was planned.
Mots clés
Adrenal carcinoma, In situ liver hypothermic perfusion, Inferior vena cava, Right hepatectomy, Total vascular exclusion, Veno-venous bypass
Référence
Ann Surg Oncol. 2023 08 19;: