Abstract
Background/Purpose: The availability of an appropriate vascular graft is a significant concern in an extensive hepatic resection with part of the vena cava. Methods/Results: The patient had multinodular hepatocellular carcinoma, occupying the whole posterior segment with a tumor thrombus bulging inside the vena cava. At laparotomy, a segment of the round ligament was procured for use as a patch graft. After the mobilization of the right-side liver without taking down the short hepatic veins, parenchymal resection was completed with the use of a hanging maneuver. The hepatic vena cava was semitotally side-clamped, followed by resection of the caval wall with the tumor thrombus, resulting in an en-bloc resection. The procured round ligament was opened, trimmed, and sutured to the vena cava as a patch graft, followed by smooth reperfusion. Conclusions: The use of an opened round ligament as a venous patch graft is an easy and feasible technique in patch reconstruction of the vena cava.
| Original language | English |
|---|---|
| Pages (from-to) | 581-584 |
| Number of pages | 4 |
| Journal | Journal of Hepato-Biliary-Pancreatic Surgery |
| Volume | 15 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Nov 21 2008 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
- Hepatology
Cite this
Beneficial use of the round ligament as a patch graft for vena cava reconstruction. / Ikegami, Toru; Shimada, Mitsuo; Imura, Satoru; Morine, Yuji; Kanemura, Hirofumi; Mori, Hiroki; Arakawa, Yusuke; Hanaoka, Jun.
In: Journal of Hepato-Biliary-Pancreatic Surgery, Vol. 15, No. 6, 21.11.2008, p. 581-584.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Beneficial use of the round ligament as a patch graft for vena cava reconstruction
AU - Ikegami, Toru
AU - Shimada, Mitsuo
AU - Imura, Satoru
AU - Morine, Yuji
AU - Kanemura, Hirofumi
AU - Mori, Hiroki
AU - Arakawa, Yusuke
AU - Hanaoka, Jun
PY - 2008/11/21
Y1 - 2008/11/21
N2 - Background/Purpose: The availability of an appropriate vascular graft is a significant concern in an extensive hepatic resection with part of the vena cava. Methods/Results: The patient had multinodular hepatocellular carcinoma, occupying the whole posterior segment with a tumor thrombus bulging inside the vena cava. At laparotomy, a segment of the round ligament was procured for use as a patch graft. After the mobilization of the right-side liver without taking down the short hepatic veins, parenchymal resection was completed with the use of a hanging maneuver. The hepatic vena cava was semitotally side-clamped, followed by resection of the caval wall with the tumor thrombus, resulting in an en-bloc resection. The procured round ligament was opened, trimmed, and sutured to the vena cava as a patch graft, followed by smooth reperfusion. Conclusions: The use of an opened round ligament as a venous patch graft is an easy and feasible technique in patch reconstruction of the vena cava.
AB - Background/Purpose: The availability of an appropriate vascular graft is a significant concern in an extensive hepatic resection with part of the vena cava. Methods/Results: The patient had multinodular hepatocellular carcinoma, occupying the whole posterior segment with a tumor thrombus bulging inside the vena cava. At laparotomy, a segment of the round ligament was procured for use as a patch graft. After the mobilization of the right-side liver without taking down the short hepatic veins, parenchymal resection was completed with the use of a hanging maneuver. The hepatic vena cava was semitotally side-clamped, followed by resection of the caval wall with the tumor thrombus, resulting in an en-bloc resection. The procured round ligament was opened, trimmed, and sutured to the vena cava as a patch graft, followed by smooth reperfusion. Conclusions: The use of an opened round ligament as a venous patch graft is an easy and feasible technique in patch reconstruction of the vena cava.
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UR - http://www.scopus.com/inward/citedby.url?scp=56249102075&partnerID=8YFLogxK
U2 - 10.1007/s00534-007-1319-1
DO - 10.1007/s00534-007-1319-1
M3 - Article
C2 - 18987926
AN - SCOPUS:56249102075
VL - 15
SP - 581
EP - 584
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
SN - 1868-6974
IS - 6
ER -