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 language | English |
|---|---|
| Pages (from-to) | 331-333 |
| Number of pages | 3 |
| Journal | American Journal of Surgery |
| Volume | 174 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1997 Sep |
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ASJC Scopus subject areas
- Surgery
Cite this
Direct hepatic vein anastomosis during hepatectomy for colorectal liver metastases. / Nakamura, Satoshi; Suzuki, Shohachi; Hachiya, Takashi; Ochiai, Hideto; Konno, Hiroyuki; Baba, Shozo.
In: American Journal of Surgery, Vol. 174, No. 3, 09.1997, p. 331-333.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Direct hepatic vein anastomosis during hepatectomy for colorectal liver metastases
AU - Nakamura, Satoshi
AU - Suzuki, Shohachi
AU - Hachiya, Takashi
AU - Ochiai, Hideto
AU - Konno, Hiroyuki
AU - Baba, Shozo
PY - 1997/9
Y1 - 1997/9
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0030772714&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030772714&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(97)00103-7
DO - 10.1016/S0002-9610(97)00103-7
M3 - Article
C2 - 9324148
AN - SCOPUS:0030772714
VL - 174
SP - 331
EP - 333
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -