Surgical treatment of hepatocellular carcinoma with tumor thrombus in the inferior vena cava.
- Author:
Yi WANG
1
;
Han CHEN
;
Meng-chao WU
;
Yan-fu SUN
;
Chuan LIN
;
Xiao-qing JIANG
;
Gong-tian WEI
Author Information
- Publication Type:Journal Article
- MeSH: Carcinoma, Hepatocellular; complications; surgery; Humans; Liver Neoplasms; complications; surgery; Male; Middle Aged; Neoplastic Cells, Circulating; Vena Cava, Inferior; pathology
- From: Chinese Journal of Surgery 2003;41(3):165-168
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo clarify the proper surgical procedure of treating hepatocellular carcinoma (HCC) with a tumor thrombus in the inferior vena cava (IVC).
METHODSFour patients with HCC with a tumor thrombus in the IVC underwent hepatectomy and thrombectomy. Following hepatectomy, tumor thrombus was removed by incising the wall of the IVC in 3 patients and from the hepatic vein in one patient. The 3 patients underwent thrombectomy under either hepatic vascular exclusion (HVE) or Satinsky's vascular clamping.
RESULTSAll the operations were successful without operative death and major complications. The postoperative course was uneventful in 3 patients and pleural effusion occurred in one patient who needed thoracentesis. Follow-up showed 3 patients died after 30, 10 and 14 months, respectively, and one patient is alive for 7 months.
CONCLUSIONSHCC with tumor thrombus in the IVC is operable and the proper procedure is hepatectomy plus thrombectomy.
