Resection of Retro-Hepatic Vena Cava (RHVC) En-bloc with Caudate Lobe without Vascular Exclusion for a Low Grade Leiomyosarcoma of Inferior Vena Cava.
Michele AltomareCarlo SpositoEnrico RegaliaJorgelina CoppaMaria FloresElena ManzoMichele Droz Dit BussetVincenzo MazzaferroPublished in: Annals of surgical oncology (2021)
Complex resection of primary tumor of the IVC en bloc with caudate lobe and RHVC can be attempted in chronic liver diseases at-risk of postoperative failure. Preservations of transhepatic flow and liver function depends on tumor size and preservation of noninvaded hepatic-veins confluence. Preoperative virtual 3D reconstruction is crucial in surgical planning.