Abstract
Treatment of malignancies invading the hepatic veins/inferior vena cava is a surgical challenge. An ante situm technique allows luxation of the liver in front of the situs to perform tumor resection. Usually, cold perfusion and veno-venous bypass are applied. Our experience with modified ante situm resection relying only on total vascular occlusion is reported. Retrospective analysis on an almost 15-year experience with ante situm resection without application of cold perfusion or veno-venous bypass RESULTS: The ante situm technique was applied on eight patients. Five individuals were treated due to intrahepatic cholangiocellular cancer and one case each for mixed cholangio-/hepatocellular carcinoma, colorectal liver metastasis, and pheochromocytoma. Trisectorectomy (n = 4), left hemihepatectomy, right hepatectomy, atypical resection, or mesohepatectomy (each n = 1) were performed, combined with dissection of suprahepatic/retrohepatic vena cava/hepatic veins. Venous reconstruction was achieved by reimplantation of hepatic veins with/without vascular replacement using allogeneic donor veins or PTFE grafts. Median total vascular occlusion of the liver was 23 min. Severe morbidity occurred in three patients (Dindo-Clavien > 3A). R...Continue Reading
References
Mar 1, 1992·Archives of Surgery·Y YamaokaY Konishi
Jun 29, 1991·Lancet·L HannounR Parc
Feb 1, 1989·Annals of Surgery·E DelvaC Huguet
Jan 1, 1988·Langenbecks Archiv für Chirurgie·R PichlmayrJ Kaukemüller
Nov 1, 1995·World Journal of Surgery·R PichlmayrG Tusch
Jun 19, 1998·Journal of the American College of Surgeons·R S ChariP A Clavien
May 20, 2000·Surgery·K J OldhaferR Pichlmayr
Jun 17, 2000·Langenbeck's Archives of Surgery·R RaabR Pichlmayr
Jun 12, 2003·Archives of Surgery·Juan M SarmientoDavid M Nagorney
Nov 8, 2003·Journal of Hepato-biliary-pancreatic Surgery·Yang-Il Kim
Mar 3, 2004·Journal of the American College of Surgeons·Taku AokiMasatoshi Makuuchi
Jul 27, 2004·Annals of Surgery·Daniel DindoPierre-Alain Clavien
Feb 4, 2006·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Scott T JohnsonDavid Bigam
Feb 10, 2009·Clinical Transplantation·Katrin HoffmannPeter Schemmer
Nov 18, 2009·The British Journal of Surgery·D DubayI McGilvray
May 5, 2011·Digestive Surgery·Ari MehrabiJan Schmidt
Jun 15, 2012·Journal of Hepato-biliary-pancreatic Sciences·Yuzo Yamamoto
Mar 21, 2013·Journal of the American College of Surgeons·Dong-Sik KimSung-Ock Suh
Aug 28, 2014·Journal of Hepato-biliary-pancreatic Sciences·Hüseyin BektasLampros Kousoulas
Sep 19, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Eduardo de SantibañesJuan Pekolj
Jul 5, 2017·Chirurgia·Vladislav BraşoveanuIon Barbu
Citations
Sep 27, 2020·Langenbeck's Archives of Surgery·Maria Baimas-GeorgeDionisios Vrochides
Jul 1, 2019·Langenbeck's Archives of Surgery·F OldhaferFlorian W R Vondran
Jan 8, 2020·World Journal of Surgical Oncology·Hesameddin EghlimiSaman Nikeghbalian
Jun 12, 2019·Langenbeck's Archives of Surgery·Mohammad H Fard-AghaieKarl J Oldhafer
Aug 30, 2020·Journal of Visceral Surgery·A DoussotB Heyd
Feb 17, 2021·Langenbeck's Archives of Surgery·Maria Baimas-GeorgeDionisios Vrochides
Feb 3, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Nikolaos MachairasGeorgios C Sotiropoulos
Nov 21, 2020·Annals of Surgery·Yu ZhangShaoping Deng
Mar 18, 2021·World Journal of Surgery·Nikola VladovVentsislav Mutafchiyski
Apr 8, 2021·The British Journal of Surgery·U CilloE Gringeri
May 1, 2021·Journal of Clinical Medicine·Tim ReeseKarl J Oldhafer
Aug 8, 2021·Cancers·Roberta AngelicoTommaso Maria Manzia
Sep 15, 2021·Langenbeck's Archives of Surgery·Olga Radulova-MauersbergerCarina Riediger
Jan 15, 2022·Langenbeck's Archives of Surgery·Lucio UrbaniMarco Puccini