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首页> 外文期刊>Annals of Gastroenterological Surgery >Liver resection combined with inferior vena cava resection and reconstruction using artificial vascular graft: A literature review
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Liver resection combined with inferior vena cava resection and reconstruction using artificial vascular graft: A literature review

机译：肝切除联合下腔静脉切除及人工血管重建术：文献综述

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In cases where liver tumors invade the inferior vena cava (IVC), IVC resection along with liver resection may be needed to effect a cure. Furthermore, if the IVC defect is large, IVC reconstruction with vascular graft after resection is required. There are limited reports of cases of IVC reconstruction using a graft. By reviewing data from the literature of previous studies, the present study was aimed at investigating the surgical outcomes of liver resection with IVC resection and reconstruction using an artificial vascular graft. PubMed was searched for previous articles reporting cases with the combined surgery. The search was limited to articles in English, and cases with exceptional surgeries such as in?situ cold perfusion, and ante?situm and ex?vivo techniques were excluded from this study. Surgical outcomes of the extracted cases were investigated. Cases dealt only with primary closure after IVC resection, and those in which the IVC tumor thrombus was treated by opening the IVC wall, removing the thrombus and then closing the IVC without wall excision were not included in this study. The literature search identified 13 studies, including 111 cases. Operative mortality in the reported cases was 8.1% (9 out of 111 cases). Thrombus in the artificial vascular graft was observed in two cases, and patency of the graft during the follow‐up period was confirmed in 109 of the 111 cases (98.2%). These results suggested that the surgical outcomes of liver resection combined with IVC resection and reconstruction using the artificial vascular graft were favorable.
机译：如果肝肿瘤侵犯下腔静脉（IVC），则可能需要同时进行IVC切除和肝切除才能治愈。此外，如果IVC缺损较大，则需要在切除后使用血管移植物进行IVC重建。关于使用移植物进行IVC重建的病例报道很少。通过回顾以前研究文献中的数据，本研究旨在研究采用IVC切除术并使用人造血管移植物进行肝切除术的手术结局。在PubMed中搜索了以前报道过合并手术病例的文章。该搜索仅限于英文文章，本研究不包括具有特殊手术的病例，例如原位冷灌注，前路和体外技术。提取病例的手术结果进行了调查。该病例仅涉及IVC切除后的初次闭合，而那些通过打开IVC壁，去除血栓然后在不切除壁的情况下闭合IVC来治疗IVC肿瘤血栓的病例。文献检索确定了13项研究，包括111例。报告病例的手术死亡率为8.1％（111例中有9例）。在2例中观察到人造血管移植物中的血栓形成，在111例中的109例中确认了随访期间的移植物通畅性（98.2％）。这些结果表明，肝切除结合IVC切除和人工血管移植重建的手术效果良好。

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