[Surgical treatment of hepatic cancer invading inferior vena cava]
Ai-jun Li1, Meng-chao Wu, Wei-ping Zhou
1Eastern Hepatobiliary Hospital, Second Military Medical University, Shanghai 200438, China.
Objective:
To explore the surgical manipulation off the inferior vena cava (IVC) in the hepatic cancer invading IVC in order to increase the resection rate and operative safety.
Methods:
The clinical data of 29 cases of hepatic cancer invading IVC, 25 males and 4 females, aged 42.45 (4 - 60) who underwent resection of the tumor January 1996 - September 2005 were analyzed retrospectively.
Results:
The operation patterns related to the IVC included partial excision and repair of the IVC (in 25 cases) and resection of the tumor and withdrawal of the tumor thrombus (in 4 cases with tumor thrombus in IVC). All the operations were successful without operative death and major complications.
Conclusion:
Radical resection can be used in selected patients with hepatic cancer invading IVC. Safe, effective, and practical, resection and reconstruction of IVC increases the excision rate of hepatic cancer remarkably.
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