Extended Right Lobectomy with Removal of the Portal Tumor Thrombus and Resection of the Hepatic Inferior Vena Cava
Direct invasion to the inferior vena cava (IVC) from the tumor of hepatocellular carcinoma (HCC) is uncommon. Therefore, it is possible to dissect the tumor from the IVC in a number of cases HCC. However, in cases of HCC with direct invasion to the IVC, partial resection of the wall of the IVC with the tumor is necessary. If direct invasion to the IVC is extensive, resection of the hepatic IVC is necessary for curative surgery. In the present case, reconstruction of the IVC was performed without venovenous bypass or clamping of hepatic inflow. Vascular forceps were placed on the hepatic IVC just below the root of the left hepatic vein and above the root of the left renal vein. The IVC was reconstructed using an artificial vessel (Gore-tex, W.L. Gore & Assoc, Flagstaff, AZ, USA, without venovenous bypass or clamping of hepatic inflow.
KeywordsPortal Vein Inferior Vena Cava Hepatic Vein Hepatic Duct Extrahepatic Bile Duct
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