Intrapericardial control of the inferior vena cava from the abdominal cavity

Journal of Hepato-biliary-pancreatic Surgery
Marcelo E FacciutoPatricia A Sheiner

Abstract

Vascular isolation of the liver is a useful technique in major hepatic surgery that involves hepatic veins and the inferior vena cava. In some patients, exposure of the suprahepatic inferior vena cava is suboptimal from the abdominal cavity, and extension into the chest is required. This report details technical considerations of the control of the inferior vena cava within the pericardium from the abdominal cavity, through a vertical incision in the diaphragm, and without the need for a thoracic incision. We review the clinical situations when a transdiaphragmatic, intrapericardial access of the inferior vena cava should be considered.

Citations

Aug 22, 2008·World Journal of Surgery·Marcelo E FacciutoPatricia A Sheiner
Nov 20, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Junming XuRonald W Busuttil
Sep 17, 2013·Journal of the American College of Surgeons·Yves Patrice Le TreutJean Hardwigsen
Jan 28, 2010·The Annals of Thoracic Surgery·Gaetano CiancioTomas A Salerno
May 20, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Irene K Kim, Andrew Klein

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