Combined resection of liver and inferior vena cava

Shcherba A.E.; Efimov D.Iu.; Rummo O.O.

doi:https://doi.org/

Shcherba A.E.

Gorodskaia klinicheskaia bol'nitsa #9 i Respublikanskiĭ nauchno-prakticheskiĭ tsentr transplantatsii organov i tkaneĭ, Minsk, Respublika Belarus'

Efimov D.Iu.

Gorodskaia klinicheskaia bol'nitsa #9 i Respublikanskiĭ nauchno-prakticheskiĭ tsentr transplantatsii organov i tkaneĭ, Minsk, Respublika Belarus'

Rummo O.O.

Gorodskaia klinicheskaia bol'nitsa #9 i Respublikanskiĭ nauchno-prakticheskiĭ tsentr transplantatsii organov i tkaneĭ, Minsk, Respublika Belarus'

Combined resection of liver and inferior vena cava

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Shcherba A.E., Efimov D.Iu., Rummo O.O.

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Journal: Pirogov Russian Journal of Surgery. 2014;(10): 39‑44

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Shcherba AE, Efimov DIu, Rummo OO. Combined resection of liver and inferior vena cava. Pirogov Russian Journal of Surgery. 2014;(10):39‑44. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

It was analyzed the results of treatment of 8 patients. Combined resection of liver and inferior vena cava was done in all cases. All resections of inferior vena cava were performed in combination with right-sided hemihepatectomy. Circular resection of inferior vena cava was done in 6 cases, tangential-in 2 cases. Allograft of donor inferior vena cava was used in 3 cases for reconstruction of inferior vena cava. Average duration of combined resection of liver and inferior vena cava was 675±189 min, average hemorrhage - 1800±1402 ml. The need for transfusion of packed red blood cells was 270±723 ml, the need for transfusion of fresh frozen plasma was 1105±636 ml. Post-resection liver failure according to criteria ISGLS developed in 3 patients (37.5%). Biliary complications such as biliary fistula and inconsistency of hepatico-jejunal anastomosis developed in 2 patients (25%). Hospital mortality was 12.5%. It is considered that resection of liver with inferior vena cava demands an experience in hepatobiliary surgery and/or liver transplantation. Surgeon must be ready to use total vascular isolation, hypothermic preservation and veno-venous bypass grafting. It allows to dilate an opportunity of resection liver surgery.

Keywords:

liver resection

resection of inferior vena cava

vascular isolation of liver

venous allograft

hypothermic preservation

Authors:

Shcherba A.E.

Gorodskaia klinicheskaia bol'nitsa #9 i Respublikanskiĭ nauchno-prakticheskiĭ tsentr transplantatsii organov i tkaneĭ, Minsk, Respublika Belarus'

Efimov D.Iu.

Gorodskaia klinicheskaia bol'nitsa #9 i Respublikanskiĭ nauchno-prakticheskiĭ tsentr transplantatsii organov i tkaneĭ, Minsk, Respublika Belarus'

Rummo O.O.

Gorodskaia klinicheskaia bol'nitsa #9 i Respublikanskiĭ nauchno-prakticheskiĭ tsentr transplantatsii organov i tkaneĭ, Minsk, Respublika Belarus'

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References:

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