Hepatectomia direita ampliada com ressecção parcial da veia cava para metástase colorretal: relato de caso
Introduction: Hepatectomy has been standard treatment for metastases from colorectal origin (CR). Metastases with inferior vena cava (IVC) involvement may require combined resection of the liver and IVC. This approach may present high surgical risk, Both profuse bleeding and gas embolism are letal i...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2010 |
| País: | Brasil |
| Institución: | Universidade Federal de São Paulo (UNIFESP) |
| Repositorio: | Repositório Institucional da UNIFESP |
| Idioma: | portugués |
| OAI Identifier: | oai:repositorio.unifesp.br:11600/5751 |
| Acceso en línea: | http://dx.doi.org/10.1590/S0101-98802010000200017 http://repositorio.unifesp.br/handle/11600/5751 |
| Access Level: | acceso abierto |
| Palabra clave: | Colorectal neoplasm, Hepatectomy Neoplasm metastasis Liver neoplasm Survival rate Neoplasias colorretais Hepatectomia Metástase neoplásica Neoplasias hepáticas Taxa de Sobrevida |
| Sumario: | Introduction: Hepatectomy has been standard treatment for metastases from colorectal origin (CR). Metastases with inferior vena cava (IVC) involvement may require combined resection of the liver and IVC. This approach may present high surgical risk, Both profuse bleeding and gas embolism are letal intraoperative complications. Case: The authors present a case of single hepatic CR metastasis that was treated by means extended right hepatectomy with partial inferior vena cava resection and primary reconstruction. Patient present good postoperative course without neoplasm recurrence (one year follow-up period). Conclusion: Resection of VCI and combined reconstruction with hepatectomy may be satisfactorily done in selected cases. Lack of alternative treatments associated poor prognosis of untreated cases has justified this aggressive conduct. Therefore, this approach should be realized by hepatic surgery expertise team. |
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