Background When retrohepatic inferior vena cava (IVC) resection is required, for example, for IVC leiomyosarcoma, reconstruction is recommended. This is particularly true when the renal vein confluence is resected to preserve venous outflow, including that of the right kidney. Methods Two patients with retrohepatic IVC leiomyosarcoma involving renal vein confluences underwent hepatectomy with en bloc IVC resection below the renal vein confluence. IVC reconstruction was not performed, but end-to-end renal vein anastomoses were, including a prosthetic graft in 1 case. Results The postoperative course was
As many as 25 % of colorectal cancer (CRC) patients have liver metastases at presentation. However, the optimal strategy for resectable synchronous colorectal liver metastasis remains controversial. Despite the increasing use of laparoscopy in colorectal and liver resections, combined laparoscopic resection of the primary CRC and synchronous liver metastasis is rarely performed. The potential benefits of this approach are the possibility to perform a radical operation with small incisions, earlier recovery, and reduction in costs. The aim of this study was
Background Surgical resection is the gold standard therapy for the treatment of colorectal liver metastases (CRM). The aim of this study was to investigate the impact of tumor growth patterns on disease recurrence. Methods We enrolled 91 patients who underwent CRM resection. Pathological specimens were prospectively evaluated, with particular attention given to tumor growth patterns (infiltrative vs pushing). Results Tumor recurrence was observed in 65 patients (71.4%). According to multivariate analysis, 3 or more lesions (P = .05) and the infiltrative tumor margin type (P
Abstract Purpose. Ascites, esophageal varicose veins, and acute digestive bleeding are unusual in the clinical presentation of chronic pancreatitis; however, these symptoms are frequently observed in patients with liver cirrhosis. Moreover, it is unlikely to observe chylous ascites in both presentations. Method. We report a patient who presented with chronic pancreatitis with splenic vein thrombosis, necrosis of the pancreatic neck and tail, esophageal varicose veins with previous bleeding, and chylous ascites. After partial pancreatectomy, his treatment was based on low-fat oral
INTRODUÇÃO O câncer de cólon e reto é a terceira neoplasia maligna mais comum no ocidente, sendo o tumor do aparelho digestivo mais frequente. Aproximadamente 50% dos pacientes com tumor colorretal apresentam metástase hepática em algum momento durante o curso de sua doença20 O fígado é frequentemente o primeiro local da doença metastática, sendo o único sítio de metástase em 30 a 40% dos pacientes com doença avançada17. A cirurgia
1. Introduction Pelvic hernias are very rare, and sciatic is the rarest between them [1]. These hernias occur in the sciatic foramina formed by the sacrospinous ligament. The rarity makes the diagnosis a challenge and also increases the chance of a misdiagnosis. On the other hand, abdominal hernias are frequent in cirrhotic patients with ascites. However, these patients can also develop uncommon hernias such as pelvic hernias because of pelvic floor weakness and high abdominal pressure due to ascites [2]. The presence
Vena cava thrombosis is a rare event that can occur with thrombogenic conditions (eg, a protein C or protein S deficiency), thrombophilias, and thrombogenic drugs.1-3 There are a few reports of surgical thrombectomy of the vena cava during orthotopic liver transplantation,1, 3 but there have been none without a shunt or venovenous bypass. We describe
Abstract Introduction. Agenesis of the right lobe of the liver is a rare finding and was defined as the absence of liver tissue on the right side, with preservation of the middle hepatic vein, without previous disease or surgery. It is usually an incident finding reveled by imaging exams or during abdominal surgery. Case Report. A 32-year-old male patient was admitted to the hospital for abdominal discomfort and loss of appetite. Imaging studies revealed the absence of the right hepatic lobe
INTRODUÇÃO Os procedimentos abdominais eletivos em pacientes cirróticos, dentre os quais correção cirúrgica de hérnias de parede abdominal, têm sido amplamente desencorajados, devido à elevada morbi-mortalidade consequente às complicações da cirrose. Elas incluem trombocitopenia, coagulopatia, ascite, hipertensão portal, insuficiência renal, entre outras. Além disso, é possível observar risco aumentado de descompensação hepática pós-cirúrgica e possibilidade de prejuízo na cicatrização de feridas resultantes de seu frequente mal estado nutricional17. A estratificação
Background: The laparoscopic approach to liver resective surgery is slowly spreading to specialized centers. Little is known about factors influencing the immediate postoperative outcome. Study Design: The purpose of the study was to evaluate the immediate outcome of laparoscopic liver resection (LLR), with particular emphasis on intraoperative bleeding and conversion. A retrospective analysis of demographic, clinical, and surgical data, including conversion, morbidity/mortality, and hospital stay, of the first 100 patients at our institution undergoing LLR from February 1997 through March 2007