Hepatobiliary resection with inferior vena cava resection and reconstruction using an autologous patch graft for intrahepatic cholangiocarcinoma

Abstract

The external iliac vein patch graft for IVC resection and reconstruction during hepatobiliary resection is technically simple, produces no stenosis or caliber change in the reconstructed IVC, and is applicable for at least half or less of a cross-sectional defect of the IVC wall to be reconstructed.

Technical risk factors for portal vein reconstruction thrombosis in pancreatic resection

“…Several options exist: PVR may be accomplished primarily with a partial resection and lateral venorrhaphy, with a circumferential resection and end-to-end anastomosis, or with a circumferential resection and graft interposition (Fig 3). Graft options that have been described include autologous sources such as internal jugular vein, 22 [27][28][29] and external iliac vein 18,30,31 or synthetic graft such as PTFE. 32,33 A few groups have attempted to examine PVR patency as a function of the type of reconstruction but with limited success because of low numbers of patients.…”

Combined hepatic resection with the inferior vena cava and diaphragm and reconstruction using an equine pericardial patch: Report of a case

“…[1][2][3][4][5][6] Various patch graft materials can be used for IVC reconstruction. [1][2][3][4][5][6][9][10][11] Autologous vein grafts may be preferable to reduce the risk of infection or thrombosis. 15 However, several limitations of in situ IVC reconstruction using autologous vein grafts are seen in terms of the surgical procedures (e.g., a long harvesting time; size discrepancy between IVC and the graft) and the postoperative results (e.g., limb swelling; graft occlusion due to valve-related thrombosis).…”

“…[1][2][3][4][5][6] An ideal venous substitute for reconstruction of the IVC has not yet been described. Grafts for patch repair have been reported using autologous vein grafts, 1,9 pericardium autograft, 10 artifi cial prosthesis, 4 and pericardium xenograft. 11 All of these reports were of IVC reconstruction alone, and no report has described reconstruction of both the IVC and diaphragm.…”

Resección hepática extendida con vena cava inferior por colangiocarcinoma intrahepático. Presentación de 2 casos

“…Se realiza biopsia incisional que confirma CIH. Se recibe en CAS donde se completa estudio con RM de hígado que evidencia tumor hepático que plazo vascular si es requerido (autólogo, xenólogo, protésico) 9 ; lo que ha determinado mejores resultados en la morbimortalidad de estos enfermos 10 . En nuestros casos ambos corresponden a resecciones parciales tangenciales de VCI; en el caso 1 se requirió pericardio bovino y en el caso 2 cierre primario con venorrafia.…”