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Right trisegmentectomy with a synthetic vena cava graft
S Iwatsuki1, S Todo, T E Starzl
1Department of Surgery, University Health Center of Pittsburgh, University of Pittsburgh, PA.
Archives of Surgery (Chicago, Ill. : 1960)
|August 1, 1988
Summary
A Dacron graft successfully replaced the retrohepatic vena cava during liver surgery. A venacavogram confirmed the graft remained open a year later, demonstrating long-term patency.
Area of Science:
- Hepatobiliary surgery
- Vascular reconstruction
Background:
- Liver resections, particularly trisegmentectomies, can involve complex vascular reconstruction.
- The retrohepatic vena cava is critical for venous return from the lower body and liver.
Observation:
- During a right trisegmentectomy, extensive replacement of the retrohepatic vena cava was necessary.
- A Dacron graft was utilized to reconstruct the retrohepatic vena cava.
Findings:
- The Dacron graft remained patent one year post-operatively.
- Venacavography confirmed the patency of the reconstructed retrohepatic vena cava.
Implications:
- This case demonstrates the feasibility and long-term success of using Dacron grafts for retrohepatic vena cava replacement.
- Successful reconstruction is vital for patient survival and recovery after extensive liver resections.