医学
下腔静脉
切除术
外科
放射科
肝切除术
转移
静脉
腔静脉
吻合
平滑肌肉瘤
作者
Xuemin Liu,Anpeng Zhang,Ji Miao,Shengli Wu,Jianhua Shi,Yi Lyu
出处
期刊:Chinese Journal of General Surgery
日期:2014-11-25
卷期号:29 (11): 817-820
标识
DOI:10.3760/cma.j.issn.1007-631x.2014.11.001
摘要
Objective To evaluate the safety and feasibility of simple ligation and resection of the tumor involved inferior vena cava (IVC) without reconstruction during the resection of huge intraabdominal tumors.Methods From 2008 to 2011,4 cases of giant tumor encroaching on inferior vena cava underwent resection without IVC reconstruction.After resection,renal vein was not obstructed in patient 1 and 2.Tumor invaded the third patient's retrohepatic inferior vena cava,anastomosis was performed between the left hepatic vein and the opening of atrium dextrum with artificial vascular graft.The forth patient had right trisegmentectomy of the liver with retrohepatic inferior vena cava resection,anastomosis was performed between the left hepatic vein and the remaining inferior vena cava.Results All 4 patients had a successful operation without intraoperative massive bleeding and death.The postoperative complications included edema in one patient whose collateral circulation was damaged and bile leak in one.Ewin sarcoma patient died of tumor recurrence after a year,but there was no sign of poor renal function and other complications.Ligament fibroma patient had lower limb edema for a long time after the surgery,and tumor relapse for the fourth time in two years following resection.Conclusions When a giant tumor involving and invading IVC,undergoing resection,under the condition that the collateral circulations around IVC established completely,resection and ligation of the inferior vena cava along with huge tumor without IVC reconstruction is safe.This method saves operation time,increases the safety of surgery.
Key words:
Abdominal neoplasms ; Vena cava, inferior; Ligation
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