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A n n u a l E u r o p e a n C o n f e r e n c e o n
Gastroenterology
Euro Gastro 2018
J u n e 1 9 - 2 0 , 2 0 1 8
P a r i s , F r a n c e
Page 30
Journal of Clinical Gastroenterology and Hepatology
ISSN 2575-7733
Background:
Advanced hepatic tumors with involvement of hepatic veins are
considered for extended major hepatic resection that increases the risk of post
hepatectomy liver failure. Hepatic vein reconstruction can be applied for tissue
preserving liver resection.
Methods:
Sixteen patients who underwent hepatic resection requiring hepatic
vein reconstruction from 2009-2017 were reviewed. The mean age was
55.7 years (range 42-67). All patients with advanced hepatic tumors were
with compromised hepatic function due to liver cirrhosis, fibrosis or severe
steatosis. For reconstruction of hepatic vein, Gortex prothesiss, gonadal
vein and inferior mesenteric vein were used. One patient was requiring cold
perfusion of the liver for vein reconstruction.
Results:
All patients had R0 radical resection. There was no mortality. One
patient had severe hepatic failure and managed conservatively. Thrombosis
of reconstructed hepatic vein was observed in one patient on 9th day post
operation. Reconstruction of hepatic vein allowed preserve of 10-50% of liver
parenchyma.
Conclusion:
Reconstruction of hepatic veins allows to safely perform radical
parenchyma-preserving liver resection in patients with compromised liver
function due to liver cirrhosis, fibrosis or steatosis.
Biography
R Alikhanov has received General Surgery training and
completed his PhD at Vishnevsky Surgery Institute. He did
surgery observership in Department of General Surgery Johns
Hopkins Hospital, Baltimore, USA in 2004. He has completed a
fellowship in Liver Surgery and Transplantation (2010) at Chang
GungMemorialHospital,KaohsiungMedicalCenter,Taiwanand
(2011) at University of Paris, Beaujon Hospital, France. In 2009,
he joined Department of Surgery of M V Lomonosov Moscow
Statement University as an Associated Professor. From 2013
until now, he is the Head of Liver and Pancreatic Surgery
department in Moscow Clinical Scientific Center. His clinical
interests include Liver Transplantation, Immunotolerance and
Oncology, Laparoscopic Hepatopancreatobiliry surgery. He
has a strong commitment for teaching to medical students,
residents and fellows.
rusdoc1@mail.ruHepatic vein reconstruction for resection of advanced hepatic
tumors
R Alikhanov, M Efanov, P Kim, I Kazakov, A Vankovich and V
Tsvirkun
Moscow Clinical Scientific Center, Russia
R Alikhanov et al., J Clin Gastroenterol Hepatol 2018, Volume: 2
DOI: 10.21767/2575-7733-C1-002