Extended Right Hepatectomy to Inferior Vena Cava Under Total Vascular Exclusion, Veno-Venous Bypass and In Situ Hypothermic Perfusion of the Future Liver Remnant.

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

https://www.ncbi.nlm.nih.gov/pubmed/37598116

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;: