Combined resection of hepatoblastoma and intracaval right atrial extension with profound hypothermia and circulatory arrest

Ca, Mestres; Prabhakaran, Kartik; Adebo, Oluwafemi Ayodeji; Ck, Kum; Lee, Chuen Neng

doi:10.1016/1010-7940(91)90123-2

Cited by 13 publications

(10 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Later, further reports of major HBL resections using the CPB have been reported, as summarized in Table 1. Many cases have been associated with major complications such as post-operative dead for pulmonary embolism (possibly related to tumoral thrombi spreading during liver mobilization) [9]; ischemic cholangiopathy requiring subsequent LT [10]; residual tumoral thrombi in major vessels [6].…”

Section: Discussionmentioning

confidence: 99%

Ante situm liver resection with inferior vena cava replacement under hypothermic cardiopolmunary bypass for hepatoblastoma: Report of a case and review of the literature

Angelico

Passariello

Pilato

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Ante situm liver resection with inferior vena cava replacement under hypothermic cardiopolmunary bypass for hepatoblastoma: Report of a case and review of the literature

Angelico

Passariello

Pilato

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Earlier strategies have described CPB with circulatory arrest to resect hepatoblastomas with intracardiac extension. 4,5 In our case, the hepatectomy was performed prior to systemic heparinization, to enable hemostasis of the liver bed before institution of CPB. We avoided circulatory arrest which has the potential to cause neurological deficits.…”

Section: Discussionmentioning

confidence: 97%

A systematic surgical approach to hepatoblastoma with intracardiac extension

Sayed

Prabhu

Fawcett

et al. 2017

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Hepatoblastoma is very uncommon in children, and intracardiac extension is rare. The SIOPEL-4 regime for metastatic hepatoblastoma has extended the surgical options with good results. We successfully treated a boy aged 2 years and 9 months with hepatoblastoma, using a multidisciplinary surgical strategy involving an extended left hepatectomy, left adrenalectomy, biopsy of the paraaortic and coeliac lymph nodes, and resection of the inferior vena caval-right atrial extension of the hepatoblastoma, under cardiopulmonary bypass and deep hypothermia.

show abstract

“…Hepatic resection was performed under cardiopulmonary bypass with hypothermic perfusion. Previously, some cases were associated with postoperative mortality or morbidity, such as postoperative death due to pulmonary embolism, 23 and ischemic cholangiopathy requiring subsequent LT 25 . However, recent studies reported that the postoperative course was uneventful and that patients were discharged within a month after the operation 6,9,12,26 .…”

Section: Discussionmentioning

confidence: 99%

The extracorporeal circulation with transdiaphragmatic approach in living‐donor liver transplantation for HB with atrial extension of tumor thrombus: A case report

Shimizu

Sakamoto

Fukuda

et al. 2020

Pediatric Transplantation

View full text Add to dashboard Cite

Surgical intervention for HB with tumor thrombi extending into the IVC and the RA might requires careful planning of the surgical procedures, including vascular reconstruction and extracorporeal circulation. We herein report a successful case of LDLT for HB with atrial extension of a tumor thrombus by extracorporeal circulation with a transdiaphragmatic approach. The patient was a 5‐year‐old boy with PRETEXT IV HB with a tumor thrombus that extended into the IVC and the RA. After 4 cycles of chemotherapy and resection of bilateral lung metastases, the size of the primary HB tumor decreased. As the tumor extension from the LHV to the RA had decreased but was still present, we performed LDLT with tumor thrombectomy. The central part of the diaphragm was sagittally incised to expose the suprahepatic IVC and the RA. Venovenous bypass was achieved from the right femoral vein and IMV to the RA En bloc resection of the native liver with the tumor thrombus was then performed. HV anastomosis was made between the newly created orifice on the IVC and the graft LHV. The duration of LDLT was 10 hours and 44 minutes (extracorporeal circulation time: 78 minutes). Pediatric LT for HB with the extension of tumor thrombi into the RA under extracorporeal circulation is a feasible option and allows for the expansion of the indications for transplantation for children with unresectable liver tumors.

show abstract

Combined resection of hepatoblastoma and intracaval right atrial extension with profound hypothermia and circulatory arrest

Cited by 13 publications

References 3 publications

Ante situm liver resection with inferior vena cava replacement under hypothermic cardiopolmunary bypass for hepatoblastoma: Report of a case and review of the literature

Ante situm liver resection with inferior vena cava replacement under hypothermic cardiopolmunary bypass for hepatoblastoma: Report of a case and review of the literature

A systematic surgical approach to hepatoblastoma with intracardiac extension

The extracorporeal circulation with transdiaphragmatic approach in living‐donor liver transplantation for HB with atrial extension of tumor thrombus: A case report

Contact Info

Product

Resources

About