Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study
Abstract Background Retrohepatic inferior vena cava (RIVC) resection without reconstruction in ex vivo liver resection and autotransplantation (ERAT) for advanced alveolar echinococcosis (HAE) is unclear. Methods This is a retrospective study of consecutive patients referred to our hospital from 201...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-03-01
|
Series: | BMC Surgery |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12893-020-00720-z |
id |
doaj-d0dc1bd7fa07499a8ae8fb5d6ea584bb |
---|---|
record_format |
Article |
spelling |
doaj-d0dc1bd7fa07499a8ae8fb5d6ea584bb2020-11-25T02:26:35ZengBMCBMC Surgery1471-24822020-03-012011610.1186/s12893-020-00720-zResection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective studyXianwei Yang0Tao Wang1Junjie Kong2Bin Huang3Wentao Wang4Department of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan UniversityDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan UniversityDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan UniversityDepartment of Vascular Surgery, West China Hospital of Sichuan UniversityDepartment of Liver Surgery & Liver Transplantation Center, West China Hospital of Sichuan UniversityAbstract Background Retrohepatic inferior vena cava (RIVC) resection without reconstruction in ex vivo liver resection and autotransplantation (ERAT) for advanced alveolar echinococcosis (HAE) is unclear. Methods This is a retrospective study of consecutive patients referred to our hospital from 2014 to 2018. Depending on the presence of a rich collateral circulation and stable blood volume in ERAT, patients did not rebuild the RIVC. Then, patients were selected some appropriate revascularization techniques for the hepatic and renal veins. Finally, all ERAT procedures were completed, and short- and long-term outcomes were observed. Results Five advanced HAE patients underwent ERAT without RIVC reconstruction. One patient died of circulatory failure 1 day after surgery. Another four patients, with a median follow-up duration of 18 months (range, 10–25 months), demonstrated normal liver and kidney function, no thrombosis and no HAE recurrence. Conclusions Through the long-term results of ERAT, the pros and cons of not reconstructing the RIVC need to be re-examined. In cases with a rich collateral circulation, the RIVC cannot be reconstructed. However, in cases requiring the resection of multiple organs, RIVC without reconstruction was prudential.http://link.springer.com/article/10.1186/s12893-020-00720-zHepatic alveolar echinococcosisInferior vena cavaLiver autotransplantationReconstruction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Xianwei Yang Tao Wang Junjie Kong Bin Huang Wentao Wang |
spellingShingle |
Xianwei Yang Tao Wang Junjie Kong Bin Huang Wentao Wang Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study BMC Surgery Hepatic alveolar echinococcosis Inferior vena cava Liver autotransplantation Reconstruction |
author_facet |
Xianwei Yang Tao Wang Junjie Kong Bin Huang Wentao Wang |
author_sort |
Xianwei Yang |
title |
Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study |
title_short |
Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study |
title_full |
Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study |
title_fullStr |
Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study |
title_full_unstemmed |
Resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study |
title_sort |
resection of retrohepatic inferior vena cava without reconstruction in ex vivo liver resection and autotransplantation: a retrospective study |
publisher |
BMC |
series |
BMC Surgery |
issn |
1471-2482 |
publishDate |
2020-03-01 |
description |
Abstract Background Retrohepatic inferior vena cava (RIVC) resection without reconstruction in ex vivo liver resection and autotransplantation (ERAT) for advanced alveolar echinococcosis (HAE) is unclear. Methods This is a retrospective study of consecutive patients referred to our hospital from 2014 to 2018. Depending on the presence of a rich collateral circulation and stable blood volume in ERAT, patients did not rebuild the RIVC. Then, patients were selected some appropriate revascularization techniques for the hepatic and renal veins. Finally, all ERAT procedures were completed, and short- and long-term outcomes were observed. Results Five advanced HAE patients underwent ERAT without RIVC reconstruction. One patient died of circulatory failure 1 day after surgery. Another four patients, with a median follow-up duration of 18 months (range, 10–25 months), demonstrated normal liver and kidney function, no thrombosis and no HAE recurrence. Conclusions Through the long-term results of ERAT, the pros and cons of not reconstructing the RIVC need to be re-examined. In cases with a rich collateral circulation, the RIVC cannot be reconstructed. However, in cases requiring the resection of multiple organs, RIVC without reconstruction was prudential. |
topic |
Hepatic alveolar echinococcosis Inferior vena cava Liver autotransplantation Reconstruction |
url |
http://link.springer.com/article/10.1186/s12893-020-00720-z |
work_keys_str_mv |
AT xianweiyang resectionofretrohepaticinferiorvenacavawithoutreconstructioninexvivoliverresectionandautotransplantationaretrospectivestudy AT taowang resectionofretrohepaticinferiorvenacavawithoutreconstructioninexvivoliverresectionandautotransplantationaretrospectivestudy AT junjiekong resectionofretrohepaticinferiorvenacavawithoutreconstructioninexvivoliverresectionandautotransplantationaretrospectivestudy AT binhuang resectionofretrohepaticinferiorvenacavawithoutreconstructioninexvivoliverresectionandautotransplantationaretrospectivestudy AT wentaowang resectionofretrohepaticinferiorvenacavawithoutreconstructioninexvivoliverresectionandautotransplantationaretrospectivestudy |
_version_ |
1724846101616394240 |