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Repeat hepatectomy with inferior vena cava re-resection for colorectal liver metastases: case report and review of the literature

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Abstract

Liver resection in patients with inferior vena cava (IVC) involvement is becoming more common with the adoption of vascular exclusion techniques and replacement of the IVC. Repeat hepatectomy and an aggressive surgical approach can offer satisfactory disease-free survival and a cure in selected patients. We herein describe a case of repeat hepatectomy with en bloc re-do IVC resection and reconstruction with Gore-Tex graft for recurrent colorectal liver disease. The patient had previously undergone non-anatomical right liver resection with IVC partial excision and reconstruction with a porcine pericardial patch. The patient is currently disease-free at 12 months’ follow-up. Surgical treatment of liver tumors involving the IVC offers the only hope for prolonged survival. Re-do liver surgery with concomitant re-excision of the IVC is feasible and can be contemplated when macroscopic removal of the tumor is expected. Management of these complex cases by a specialist team with expertise in liver transplantation and vascular techniques is advised.

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Conflict of interest

The authors (Gabriele Marangoni, Abdul Hakeem, Atif Khan, Olorunda Rotimi and J. Peter Lodge) declare no conflicts of interest.

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Authors and Affiliations

  1. HPB and Transplantation Unit, St. James’ Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK

    Gabriele Marangoni, Abdul Hakeem, Atif Khan, Olorunda Rotimi & J. Peter Lodge

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  1. Gabriele Marangoni
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  2. Abdul Hakeem
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  3. Atif Khan
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  4. Olorunda Rotimi
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  5. J. Peter Lodge
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Correspondence to J. Peter Lodge.

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Marangoni, G., Hakeem, A., Khan, A. et al. Repeat hepatectomy with inferior vena cava re-resection for colorectal liver metastases: case report and review of the literature. Surg Today 45, 1450–1456 (2015). https://doi.org/10.1007/s00595-014-1091-1

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  • DOI: https://doi.org/10.1007/s00595-014-1091-1

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