Korean J Hepatobiliary Pancreat Surg.  1997 Aug;1(2):171-177.

Experience of an En Bloc Resection of Right Lobe of Liver, Adrenal, Kidney and Infrahepatic Vena Cava with the Aid of Veno-venous Bypass

• Jeon HB
• Lee SG
• Min PC

Abstract

Resection of hepatic tumors located near the confluence of hepatic vein or invading retrohepatic vena cava has become technically feasible and relatively safe with the introduction of veno-venous bypass. Hepatic vascular exclusion(HVE) with the aid of veno-venous bypass using centrifugal pump enables safe resection and reconstruction of vena cava without hemodynamic instability, compared to conventional HVE. The authors report a case of a successful en bloc resection of right lobe and caudate process of liver, right adrenal, right kidney, and retrohepatic vena cava, in order to extirpate huge retroperitoneal tumor, with the aid of veno-venous bypass using centrifugal pump. Pathologic diagnosis revealed B cell type non Hodgkin's lymphoma arising from adrenal gland. After resection, caval defect was reconstructed with Dacron graft. Patency of reconstructed cava could be observed at five months postoperatively.

Keyword

hepatic resection; veno-venous bypass; Biopump; reconstruction of vena cava

MeSH Terms

Adrenal Glands
Diagnosis
Hemodynamics
Hepatic Veins
Kidney*
Liver*
Lymphoma, Non-Hodgkin
Polyethylene Terephthalates
Transplants
Polyethylene Terephthalates