Progress in surgical treatment of hepatocellular carcinoma with tumor thrombus in the inferior vena cava
10.3760/cma.j.cn112139-20230412-00160
- VernacularTitle:原发性肝细胞癌合并下腔静脉癌栓的外科治疗进展
- Author:
Shuyou PENG
1
;
Jiasheng CAO
;
Hui LIN
;
Linghua CHEN
;
Peng LUO
;
Jiangtao LI
;
Defei HONG
;
Xiao LIANG
;
Bin ZHANG
;
Yu LIU
Author Information
1. 浙江大学医学院附属第二医院普外科，杭州310009
- Keywords:
Liver neoplasms;
Surgical procedures,operative;
Inferior vena cava tumor thrombus;
Right atrium tumor thrombus;
Pushing the thrombus out from the atrium
- From:
Chinese Journal of Surgery
2023;61(10):821-825
- CountryChina
- Language:Chinese
-
Abstract:
Hepatocellular carcinoma(HCC) is one of the most common malignancies of the digestive system,which is prone to be associated with microvascular or macrovascular invasion. Among them,HCC with inferior vena cava tumor thrombus(IVCTT) or right atrium tumor thrombus(RATT) is rare and has a poor prognosis. However,surgical treatment of HCC with IVCTT and (or) RATT is rarely reported and summarized. The review described the classification of HCC tumor thrombus with IVCTT and (or) RATT, summarized the progress of surgical approaches and surgical operations,and introduced a case of thrombectomy after pushing from the outer surface of the atrium,rendering the RATT to the inferior vena cava under non-cardiopulmonary bypass. The review also proposed the prospective treatments for HCC with IVCTT or RATT,providing clinical guidance to hepatobiliary surgeons.
