Long-term survival after anterior approach right hepatectomy combined with inferior vena cava thrombectomy using trans-diaphragmatic intrapericardial inferior vena cava occlusion: a case report and review of the literature

被引：6

作者：

Zhang, Yaodong ^{[1
,2
,3
]}

Wu, Zhengshan ^{[1
,2
,3
]}

Wang, Ke ^{[1
,2
,3
]}

Han, Sheng ^{[1
,2
,3
]}

Li, Changxian ^{[1
,2
,3
]}

Li, Xiangcheng ^{[1
,2
,3
]}

机构：

[1] Nanjing Med Univ, Affiliated Hosp 1, Hepatobiliary Ctr, Nanjing, Jiangsu, Peoples R China

[2] Chinese Acad Med Sci, Key Lab Liver Transplantat, Nanjing, Jiangsu, Peoples R China

[3] NHC Key Lab Living Donor Liver Transplantat, Nanjing, Jiangsu, Peoples R China

来源：

BMC SURGERY | 2019年 / 19卷 / 01期

基金：

美国国家科学基金会;

关键词：

Hepatocellular carcinoma; Inferior vena cava; Tumor thrombosis; ATRIAL TUMOR THROMBUS; RECURRENT HEPATOCELLULAR-CARCINOMA; SURGICAL-TREATMENT; CARDIOPULMONARY BYPASS; PULMONARY-EMBOLISM; VASCULAR INVASION; LIVER RESECTION; CHEMOEMBOLIZATION; REMOVAL; PATIENT;

D O I：

10.1186/s12893-019-0568-7

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundPresence of inferior vena cava tumor thrombosis (IVCTT) is an unfavorable factor to prognosis for patients with hepatocellular carcinoma (HCC).Case presentationHerein we report a case of HCC with IVC tumor thrombosis extending from the right hepatic vein (RHV) to the IVC, but it had not infiltrated the right atrium. Anterior approach right hepatectomy combined with IVC thrombectomy using trans-diaphragmatic IVC occlusion was performed for this patient. The patient is alive with disease-free at 32months after treatment. A literature review was also performed. This case was demonstrated with the details and concepts of surgery.ConclusionThis case suggested that surgical resection of HCC involving the IVC, but still outside the right atrium (RA), could offer satisfactory surgical outcomes in selected patients.

引用

页数：8

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