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KMID : 0870419970010020171
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1997 Volume.1 No. 2 p.171 ~ p.177
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Experience of an En Bloc Resection of Right Lobe of Liver, Adrenal, Kidney and Infrahepatic Vena Cava with the Aid of Veno-venous Bypass
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Jeon Hoon-Bae
Lee Sung-Gyu
Min Pyung-Chul
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Abstract
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Resection of hepatic tumors located near the confluence of hepatic vein or invading retrohepatic vena cava has become technically feasible and relatively safe with the introduction of veno-venous bypass. Hepatic vascular exclusion(HVE) with the aid of veno-venous bypass using centrifugal pump enables safe resection and reconstruction of vena cava without hemodynamic instability, compared to conventional HVE. The authors report a case of a successful en bloc resection of right lobe and caudate process of liver, right adrenal, right kidney, and retrohepatic vena cava, in order to extirpate huge retroperitoneal tumor, with the aid of veno-venous bypass using centrifugal pump. Pathologic diagnosis revealed B cell type non Hodgkin’s lymphoma arising from adrenal gland. After resection, caval defect was reconstructed with Dacron graft. Patency of reconstructed cava could be observed at five months postoperatively.
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KEYWORD
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hepatic resection, veno-venous bypass, Biopump, reconstruction of vents cava
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