1. [CREATING A CROSS-TUNNEL UNDER OSTIUM OF MAIN HEPATIC VEINS AND PIGGY BACK FUND LIVER ABLATE TUMOR THROMBUS FROM THE INFERIOR VENA CAVA].
- Author
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Lesovoy VN, Demchenko VN, Shchukin DV, Garagatiy IA, Polyakov NN, Hareba GG, and Ermolenko TI
- Subjects
- Hepatic Veins pathology, Humans, Liver blood supply, Liver pathology, Liver surgery, Liver Neoplasms blood supply, Liver Neoplasms complications, Liver Neoplasms pathology, Neoplasm Metastasis, Portal Vein pathology, Thrombectomy methods, Thrombosis etiology, Thrombosis pathology, Time Factors, Vena Cava, Inferior pathology, Hepatic Veins surgery, Liver Neoplasms surgery, Portacaval Shunt, Surgical methods, Portal Vein surgery, Thrombosis surgery, Vena Cava, Inferior surgery
- Abstract
The analysis of the effectiveness of a new method of thrombectomy, including the formation of cross-tunnel under the ostium of the main hepatic veins by removing tumor thrombus of the inferior vena cava (IVC). Successfully perform a piggy back manage to mobilize the liver in 12 (80%) patients, a tunnel formed in 4 (50%). Duration pigg back stage liver mobilization much higher than the formation of the tunnel. Forming tunnel cross recommended conditions when the IVC portion covered retrohepatic liver less than 1/2 of a circle or when the surgeon is sure to Derform manipulation capabilities.
- Published
- 2015