Journal of hepato-biliary-pancreatic sciences
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J Hepatobiliary Pancreat Sci · Mar 2013
Ante-situm hepatic resection for tumors involving the confluence of hepatic veins and IVC.
For patients with bulky liver tumors that have invaded all three hepatic veins at the hepatic venous confluence to the inferior vena cava (IVC), reconstruction of at least one hepatic vein outlet to the IVC is necessary. ⋯ Because of the complexity of this procedure, a team of surgeons familiar with liver surgery and liver transplantation in a specialized hepatobiliary center is required. However, we anticipate that this procedure will be feasible and justified for selected patients in whom tumor invasion at the confluence of all three hepatic veins and the IVC is too extensive to treat with other surgical procedures.