Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 11, Issue 4, pp 286–289

Intrapericardial control of the inferior vena cava from the abdominal cavity

  • Marcelo E. Facciuto
  • Sateesh Babu
  • Michael Marvin
  • Muhammad Choudhury
  • Patricia A. Sheiner
Article

DOI: 10.1007/s00534-003-0882-3

Cite this article as:
Facciuto, M., Babu, S., Marvin, M. et al. J Hepatobiliary Pancreat Surg (2004) 11: 286. doi:10.1007/s00534-003-0882-3

Abstract

Vascular isolation of the liver is a useful technique in major hepatic surgery that involves hepatic veins and the inferior vena cava. In some patients, exposure of the suprahepatic inferior vena cava is suboptimal from the abdominal cavity, and extension into the chest is required. This report details technical considerations of the control of the inferior vena cava within the pericardium from the abdominal cavity, through a vertical incision in the diaphragm, and without the need for a thoracic incision. We review the clinical situations when a transdiaphragmatic, intrapericardial access of the inferior vena cava should be considered.

Key words

Vascular control Inferior vena cava Intrapericardial access 

Copyright information

© Springer-Verlag Tokyo 2004

Authors and Affiliations

  • Marcelo E. Facciuto
    • 1
  • Sateesh Babu
    • 2
  • Michael Marvin
    • 1
  • Muhammad Choudhury
    • 3
  • Patricia A. Sheiner
    • 1
  1. 1.Division of Liver Transplant and Hepatobiliary Surgery, Department of Surgery, Westchester Medical CenterNew York Medical CollegeHawthorneUSA
  2. 2.Division of Vascular Surgery, Department of Surgery, Westchester Medical CenterNew York Medical CollegeNew YorkUSA
  3. 3.Division of Urology, Department of Surgery, Westchester Medical CenterNew York Medical CollegeNew YorkUSA