Benefits of liver transplantation surgical techniques in the management of extensive retroperitoneal tumors.

World Journal of Surgery
Marcelo E FacciutoPatricia A Sheiner

Abstract

The potential for massive hemorrhage imposes additional challenge in the management of retroperitoneal tumors. This report details technical considerations for the management of upper retroperitoneal tumors using principles of liver transplantation. A retrospective chart review of patients who underwent surgery for extensive retroperitoneal tumors using techniques for liver transplantation from December 2002 to November 2007 was done. Twenty-four patients (14 males and 10 females with a mean age 57 years) underwent major retroperitoneal surgery. Renal cell carcinoma was the most common tumor seen in 17 patients. Mean tumor dimension was 12.4 cm. Abdominal exposure was achieved via bilateral subcostal incision with upper midline extension. Right hepatic lobe mobilization and isolation from the inferior vena cava (IVC) was performed in 23 cases. Fourteen patients had IVC involvement by tumor thrombus, which was infrahepatic in six, retrohepatic in five, and intra-atrial in three patients. Tumor thrombus was removed by cavotomy in seven cases, resection and plasty in four cases, IVC graft reconstruction in two cases, and one patient required IVC and atrial graft reconstruction. Liver resection was needed in seven patients to achie...Continue Reading

References

May 11, 1991·The Annals of Thoracic Surgery·J R StewartH W Bender
May 1, 1987·British Journal of Urology·R J Neves, H Zincke
Jun 1, 1997·The Annals of Thoracic Surgery·J C NesbittJ B Putnam
Sep 16, 2004·Journal of Hepato-biliary-pancreatic Surgery·Marcelo E FacciutoPatricia A Sheiner
Jan 1, 1991·The Annals of Thoracic Surgery·James R StewartHarvey W Bender

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Citations

Jan 18, 2013·World Journal of Gastroenterology : WJG·Ke-Ming ZhangShao-Geng Zhang
Aug 14, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Gaurav MalhotraFeroze Mahmood

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