Direct hepatic vein anastomosis during hepatectomy for colorectal liver metastases

Satoshi Nakamura, Shohachi Suzuki, Takashi Hachiya, Hideto Ochiai, Hiroyuki Konno, Shozo Baba

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

BACKGROUND: When the right and middle hepatic veins (RHV and MHV) and all the short hepatic veins are removed during resection of segments (S) 7 and 8 and part of S 5 and 6 including the caudate lobe, the remainder of S 5 and 6 shows congestion, so restoration of liver function may be delayed. METHODS: in 5 patients with hepatic metastases of colorectal carcinoma, which were in the region circumscribed by the RHV, MHV, and inferior vena cava, direct hepatic vein anastomosis was performed during hepatectomy. RESULTS: Hepatic vein reconstruction took 17 to 30 minutes to complete. All 5 patients had an uneventful postoperative course, and the anastomosis was patent at 1 month after operation. One patient died of recurrent carcinoma 6 months after operation. Four have remained alive and disease free for 12, 24, 40, and 61 months. CONCLUSION: Direct hepatic vein anastomosis is an option, which should be adopted in hepatectomy, especially in patients with carcinoma invading the major hepatic veins and short hepatic veins.

Original languageEnglish
Pages (from-to)331-333
Number of pages3
JournalAmerican Journal of Surgery
Volume174
Issue number3
DOIs
Publication statusPublished - 1997 Sep 1

ASJC Scopus subject areas

  • Surgery

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