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Article: Technical considerations for radical resection of a primary leiomyosarcoma of the vena cava

TitleTechnical considerations for radical resection of a primary leiomyosarcoma of the vena cava
Authors
KeywordsHepatic Resection
Inferior Vena Cava
Leiomyosarcoma
Liver Resection
Soft Tissue Sarcoma
Vena Caval Tumor
Issue Date2012
PublisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/1365182X.asp
Citation
Hpb, 2012, v. 14 n. 8, p. 565-568 How to Cite?
AbstractBackground: Radical resection provides the best hope for cure in leiomyosarcoma of the inferior vena cava (IVC). Multi-visceral resection is often indicated by extensive tumour involvement. This report describes the technical challenges encountered during resection of a retrohepatic IVC leiomyosarcoma. Methods: Computed tomography showed an IVC leiomyosarcoma measuring 7.8 × 10.0 × 19.3 cm in a 41-year-old patient. The tumour reached the confluence of the hepatic veins, displacing the caudate lobe anteriorly and extending towards the IVC bifurcation inferiorly. En bloc resection of the IVC tumour with a right hepatic and caudate lobectomy, and a right nephrectomy was performed. Results: Subsequent to a Cattel manoeuvre, the operative procedures carried out can be broadly categorized in four major steps: (i) mobilization of the infrahepatic IVC and tumour; (ii) mobilization of the suprahepatic IVC from diaphragmatic attachments; (iii) right hepatectomy with complete caudate lobe resection, and (iv) en bloc resection of the IVC tumour. This approach allowed the entire length of tumour-bearing IVC to be freed from the retroperitoneum and avoided the risk for iatrogenic tumour rupture during dissection at the retrohepatic IVC. Reconstruction of the IVC was not performed in the presence of venous collaterals. Conclusions: Experience in liver resection and transplantation, and appreciation of the hepatocaval anatomy facilitate the safe and radical resection of retrohepatic IVC leiomyosarcoma. © 2012 International Hepato-Pancreato-Biliary Association.
Persistent Identifierhttp://hdl.handle.net/10722/173032
ISSN
2015 Impact Factor: 2.918
2015 SCImago Journal Rankings: 1.586
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, ACYen_US
dc.contributor.authorChan, SCen_US
dc.contributor.authorYiu, MKen_US
dc.contributor.authorHo, KLen_US
dc.contributor.authorWong, EMHen_US
dc.contributor.authorLo, CMen_US
dc.date.accessioned2012-10-30T06:26:43Z-
dc.date.available2012-10-30T06:26:43Z-
dc.date.issued2012en_US
dc.identifier.citationHpb, 2012, v. 14 n. 8, p. 565-568en_US
dc.identifier.issn1365-182Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/173032-
dc.description.abstractBackground: Radical resection provides the best hope for cure in leiomyosarcoma of the inferior vena cava (IVC). Multi-visceral resection is often indicated by extensive tumour involvement. This report describes the technical challenges encountered during resection of a retrohepatic IVC leiomyosarcoma. Methods: Computed tomography showed an IVC leiomyosarcoma measuring 7.8 × 10.0 × 19.3 cm in a 41-year-old patient. The tumour reached the confluence of the hepatic veins, displacing the caudate lobe anteriorly and extending towards the IVC bifurcation inferiorly. En bloc resection of the IVC tumour with a right hepatic and caudate lobectomy, and a right nephrectomy was performed. Results: Subsequent to a Cattel manoeuvre, the operative procedures carried out can be broadly categorized in four major steps: (i) mobilization of the infrahepatic IVC and tumour; (ii) mobilization of the suprahepatic IVC from diaphragmatic attachments; (iii) right hepatectomy with complete caudate lobe resection, and (iv) en bloc resection of the IVC tumour. This approach allowed the entire length of tumour-bearing IVC to be freed from the retroperitoneum and avoided the risk for iatrogenic tumour rupture during dissection at the retrohepatic IVC. Reconstruction of the IVC was not performed in the presence of venous collaterals. Conclusions: Experience in liver resection and transplantation, and appreciation of the hepatocaval anatomy facilitate the safe and radical resection of retrohepatic IVC leiomyosarcoma. © 2012 International Hepato-Pancreato-Biliary Association.en_US
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/1365182X.aspen_US
dc.relation.ispartofHPBen_US
dc.subjectHepatic Resectionen_US
dc.subjectInferior Vena Cavaen_US
dc.subjectLeiomyosarcomaen_US
dc.subjectLiver Resectionen_US
dc.subjectSoft Tissue Sarcomaen_US
dc.subjectVena Caval Tumoren_US
dc.titleTechnical considerations for radical resection of a primary leiomyosarcoma of the vena cavaen_US
dc.typeArticleen_US
dc.identifier.emailChan, ACY: acchan@hku.hken_US
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_US
dc.identifier.authorityChan, ACY=rp00310en_US
dc.identifier.authorityLo, CM=rp00412en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1477-2574.2012.00485.xen_US
dc.identifier.pmid22762406-
dc.identifier.scopuseid_2-s2.0-84863715905en_US
dc.identifier.hkuros211111-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84863715905&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume14en_US
dc.identifier.issue8en_US
dc.identifier.spage565en_US
dc.identifier.epage568en_US
dc.identifier.isiWOS:000305993800011-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridChan, ACY=15828849100en_US
dc.identifier.scopusauthoridChan, SC=36901164300en_US
dc.identifier.scopusauthoridYiu, MK=55221914300en_US
dc.identifier.scopusauthoridHo, KL=35763728100en_US
dc.identifier.scopusauthoridWong, EMH=55221993700en_US
dc.identifier.scopusauthoridLo, CM=7401771672en_US

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