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- W2894748811 abstract "Introduction: The invasion of the Inferior Cava Vein (IVC) and/or suprahepatic veins (SHV), represent a challenge for a R0 resection, achieved by vascular resections that often require reconstruction with grafts, both biological as prosthetics. The main objectives were the analysis of postoperative results (morbidity and mortality) at 90 days and overall and disease-free survival at 1 and 5 years. Methods: Retrospective study on a prospective database of approximately 1500 patients operated until September 2017. There was variability in the amount of resected parenchyma and about total or partial hilar occlusion, as well as in the SHV. Results: From the 13 patients who underwent liver resections with vascular reconstructions, 8 of them underwent IVC resection with replacement of a goretex graft, and 5 patients with invaded SHV underwent resections with placement of a 3 cm long LRV graft. The average age was 58 years (range 46-71). Hepatic volumetry was performed, getting an insufficient remnant liver volume in 7 cases, performing the ALPPS-TORNIQUETE technique. A hilar and IVC clamping test was performed and veno-venous bypass was never required. One patient died postoperatively (7.7%), and Clavien morbidity higher than IIIa was found in 5 cases. The actuarial survival at 1, 3 and 5 years was 87, 67 and 45% respectively. Conclusions: In cases of IVC or SHV invasion by a tumor, if there is a small remnant liver parenchyma, with prosthetic graft or autologous left renal vein replacement should be considered as a valid alternative when resections and complex vascular reconstructions are needed." @default.
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- W2894748811 date "2018-09-01" @default.
- W2894748811 modified "2023-10-17" @default.
- W2894748811 title "Utility of the goretex and the left renal vein as a substitute grafts for liver resections in tumors with suprahepatic and inferior cava vein invasion" @default.
- W2894748811 doi "https://doi.org/10.1016/j.hpb.2018.06.2891" @default.
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