Abstract
Background
Patients with tumors invading major veins may require combined resection and reconstruction. However, venous reconstruction often demands complex hepatobiliary and vascular surgical procedures. In this study, we report a simple patch repair technique for venous reconstruction using the repermeabilized umbilical vein of the round ligament.
Methods
We reviewed the outcomes of eleven patients who underwent venous wedge resection and patch repair using the repermeabilized umbilical vein of the round ligament at our institution.
Results
Procurement of the round ligament and method of making a patch is simple. The duration of anastomosis was approximately 15 min. Eight patients (73%) underwent hepatic resection followed by hepatic vein reconstruction; two (18%) pancreaticoduodenectomy followed by inferior vena cava (IVC) reconstruction; one (9%) hepatic resection followed by IVC reconstruction. Although one reconstructed vein became narrowed, the other ten veins were patent after surgery.
Conclusions
Patch repair using the repermeabilized umbilical vein of the round ligament is a simple and useful technique.
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References
Azoulay D, Pascal G, Salloum C et al (2013) Vascular reconstruction combined with liver resection for malignant tumours. Br J Surg 100:1764–1775
Dokmak S, Aussilhou B, Sauvanet A et al (2015) Parietal peritoneum as an autologous substitute for venous reconstruction in hepatopancreatobiliary surgery. Ann Surg 262:366–371
Ikegami T, Wang H, Imai D et al (2013) Pathological analysis of opened round ligaments as venous patch grafts in living donor liver transplantation. Liver Transpl 19:1245–1251
Toshima T, Ikegami T, Matsumoto Y et al (2015) One-step venous reconstruction using the donor’s round ligament in right-lobe living-donor liver transplantation. Surg Today 45:522–525
Miyazaki M, Ito H, Kimura F et al (2004) Hepatic vein reconstruction using autologous vein graft for resection of advanced hepatobiliary malignancy. Hepatogastroenterology 51:1581–1585
Tanaka K, Nakagawa K, Yabushita Y et al (2014) Reversal of attachment to or invasion of major intrahepatic vessels by colorectal liver metastases according to prehepatectomy chemotherapy regimen. Surgery 155:936–944
Mise Y, Aloia TA, Brudvik KW et al (2016) Parenchymal-sparing hepatectomy in colorectal liver metastasis improves salvageability and survival. Ann Surg 263:146–152
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Takahashi, M., Saiura, A. & Takahashi, Y. The Usefulness of Patch Repair Using the Repermeabilized Umbilical Vein of the Round Ligament for Hepatobiliary Malignancies. World J Surg 41, 2813–2816 (2017). https://doi.org/10.1007/s00268-017-4102-8
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DOI: https://doi.org/10.1007/s00268-017-4102-8