RIGHT-SIDED HEMIHEPATECTOMY WITH CIRCULAR RESECTION AND INFERIOR VENA CAVA REPLACEMENT FOR LOCALLY-ADVANCED LIVER ALVEOCOCCOSIS
https://doi.org/10.16931/1995-5464.20172109-113
Abstract
It is presented the case report of liver alveococcosis complicated by invasion of inferior vena cava. Right-sided hemihepatectomy with circular resection and replacement of suprarenal inferior vena cava was performed. Synthetic PTFE prosthesis reinforced by rings for better framework function and less possibility of thrombosis was used for inferior vena cava reconstruction. We applied total vascular isolation of liver. Cell Saver was obligatory for autologous blood re-infusion. The severity of post-resection liver failure, biliary complications, postoperative hemorrhage were evaluated by ISGLS criteria. There are no signs of recurrence within follow-up.
About the Authors
V. V. Voronchikhin
Institute of Advanced Training of Physicians, Health Ministry of Chuvashia;
Republican Clinical Hospital
Russian Federation
Russian Federation
Voronchikhin Valentin Vladimirovich – Cand. of Med. Sci., Associate Professor, Head of the Department of Surgery, Institute of Advanced Training of Physicians, Head of the Surgical Department of Republican Clinical Hospital of Health Ministry of Chuvashia
For correspondence: Voronchihin Valentin Vladimirovich – 33/124, boulevard Mittova, Cheboksary, 428000, Russian Federation. Phone: 8-937-396-25-18. E-mail: vorondoctor@yandex.ru
G. N. Krasnov
Republican Clinical Hospital;
Ulyanov Chuvash State University
Russian Federation
Krasnov Gerasim Nikolaevich – Cand. of Med. Sci., Associate Professor at the Department of Surgical Diseases of Ulyanov Chuvash State University, Transfusiologist, Anesthesiologist, Surgeon at the Department of Anesthesiology and Intensive Care, Republican Clinical Hospital, Health Ministry of Chuvashia
Russian Federation
Krasnov Gerasim Nikolaevich – Cand. of Med. Sci., Associate Professor at the Department of Surgical Diseases of Ulyanov Chuvash State University, Transfusiologist, Anesthesiologist, Surgeon at the Department of Anesthesiology and Intensive Care, Republican Clinical Hospital, Health Ministry of Chuvashia
References
1. Al’perovich B.I., Musayev G.Kh. Parazitarnaya invaziya. Rukovodstvo po khirurgii zhelchnyh putej pod red. Gal'perina E.I., Vetsheva P.S. [Parasite infestation. Guidelines for biliary tract surgery, ed. Galperin E.I., Vetshev P.S.]. Moscow: Publishing House Vidar-M, 2009. P. 277–278. (In Russian)
2. Al'perovich B.I. Radical and semi-radical surgery for liver alveococcosis. Annaly khirurgicheskoy gepatologii. 1996; 1: 24–29. (In Russian)
3. Bebezov B.Kh., Umetaliev T.M., Mamashev N.D., Surov E.A., Esenkulov Ch.T. Surgery for liver alveococcosis with lesion of inferior vena cava and portal vein. Vestnik Kyrgyzsko-Rossijskogo Slavjanskogo universiteta. 2015; 15 (7): 27–30. (In Russian)
4. Vishnevsky V.A., Zotikov A.E., Efanov M.G., Ikramov R.Z., Lyadov V.K. Extended right-sided hemihepatectomy and inferior vena cava replacement for locally-advanced liver alveococcosis. Angiologiya i sosudistaya khirurgiya. 2009; 15 (4): 114–118. (In Russian)
5. Skipenko O.G., Shatveryan G.A., Bagmet N.N., Chekunov D.A., Bedzhanyan A.L., Ratnikova N.P., Zavoykin V.D. Liver alveococcosis: retrospective analysis of treatment of 51 patients. Khirurgiya. 2012; 12: 4–13. (In Russian)
6. Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull. World Health Organ. 1996; 74 (3): 231–242.
7. Vuitton D.A., Qian W., Hong-xia Z., Raoul F., Knapp J., Bresson-Hadni S. A historical view of alveolar echinococcosis, 160 years after the discovery of the first case in humans: part 1. What have we learnt on the distribution of the disease and on its parasitic agent? Chin. Med. J. (Engl.). 2011; 124 (18): 2943–2953.
8. Zagaynov V.E., Kiselev N.M., Gorokhov G.G., Vasenin S.A., Bel’sky V.A., Shalapuda V.I., Rykhtik P.I. Modern methods of surgical treatment of diffuse liver alveococcosis. Annaly khirurgicheskoy gepatologii. 2016; 21 (1): 44–52. (In Russian)
9. Porshennikov I.A., Bykov A.Yu., Pavlik V.N., Kartashov A.S., Shchekina E.E., Korobeynikova M.A., Yushina E.G. Liver transplantation and resection with vascular reconstruction for advanced alveococcosis. Annaly khirurgicheskoy gepatologii. 2016; 21 (2): 11–24. (In Russian)
10. Voskanyan S.E., Artem’yev A.I., Naydenov E.V., Zabezhinsky D.A., Chuchuev E.S., Rudakov V.S., Shabalin M.V., Shcherbin V.V. Transplantation technologies for surgical treatment of locally-advanced liver alveococcosis with great vessels invasion. Annaly khirurgicheskoy gepatologii. 2016; 21 (2): 25–31. (In Russian)
11. Zhuravlev V.A. Aktualnie, spornie i nereshennie voprosi khirurgii pecheni [Actual, controversial and unresolved questions of liver surgery] Kirov: MIAC, 2008. 277 p. (In Russian)
12. Brunetti E., Kern P., Vuitton D.A. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010; 114 (1): 1–16.
Review
For citations:
Voronchikhin V.V., Krasnov G.N. RIGHT-SIDED HEMIHEPATECTOMY WITH CIRCULAR RESECTION AND INFERIOR VENA CAVA REPLACEMENT FOR LOCALLY-ADVANCED LIVER ALVEOCOCCOSIS. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(2):109-113. (In Russ.) https://doi.org/10.16931/1995-5464.20172109-113
Views:
1975
Email this article 