How to Cite
Abstract
NEW METHOD OF SURGICAL CONTROL OF RETROHEPATIC IVC: ANATOMICAL STUDY
Lesovoy V.N., Shchukin D.V., Garagatiy I.A., Polyakov M.M., Khareba G.G.
Kharkiv National Medical University, Regional Clinical Center of Urology and Nephrologynemed after V.I. Shapoval, Ukraine
Abstract.
The study presents results of our anatomical investigation of feasibility of a new surgical maneuver: formation of a cross-tunnel under the mouths of the major hepatic veins during removal of a tumor thrombus of the inferior vena cava. The parameters of this surgical approach were compared with the results of “piggyback” liver mobilization. Our results have demonstrated possibility of forming a tunnel under the mouths of the major hepatic veins in 80% of cases. This maneuver has similar risk level parameters compared to “piggyback” mobilization of the liver. No prognostic factors for feasibility of such an approach were identified. Further clinical study is definitely required to determine its effectiveness.
Key words:
inferior vena cava, tumor thrombus, piggyback mobilization of the liver, cross-tunnel
Новий метод хірургічного контролю ретропечінкового сегменту НПВ: анатомічне дослідження
Лісовий В.М., Щукін Д.В., Гарагатий І.А., Поляков М.М., Хареба Г.Г.
Харківський національний медичний університет, Обласний клінічний центр урології і нефрології ім. В.І. Шаповала, Україна
Резюме.
У нашій роботі представлені результати анатомічного дослідження можливості виконання нового хірургічного маневру - формування поперечного тунелю під вічками головних печінкових вен при видаленні пухлинних тромбів нижньої порожнистої вени. Параметри даного хірургічного підходу порівнювалися з результатами рiggyback мобілізації печінки. Результати нашої роботи продемонстрували можливість формування тунелю під вічками головних печінкових вен у 80% пацієнтів. Даний маневр має подібні показники рівня ризику в порівнянні з рiggyback мобілізацією печінки. Яких-небудь прогностичних факторів щодо можливості виконання такого підходу ідентифіковано не було. Для визначення його ефективності необхідно подальше клінічне дослідження.
Ключові слова:
нижня порожниста вена, пухлинний тромб, piggyback мобілізація печінки, поперечний тунель
Новый метод хирургического контроля ретропеченочного сегмента НПВ: анатомическое исследование
Лесовой В.Н., Щукин Д.В., Гарагатый И.А., Поляков Н.Н., Хареба Г.Г.
Харьковский национальный медицинский университет, Областной клинический центр урологии и нефрологии им. В.И. Шаповала, Украина
Резюме.
В нашей работе представлены результаты анатомического исследования возможности выполнения нового хирургического маневра - формирования поперечного тоннеля под устьями главных печеночных вен при удалении опухолевых тромбов нижней полой вены. Параметры данного хирургического подхода сравнивались с результатами рiggyback мобилизации печени. Результаты нашей работы продемонстрировали возможность формирования тоннеля под устьями главных печеночных вен у 80% пациентов. Данный маневр имеет сходные показатели уровня риска в сравнении с рiggyback мобилизацией печени. Каких-либо прогностических факторов в отношении выполнимости такого подхода идентифицировано не было. Для определения его эффективности необходимо дальнейшее клиническое исследование.
Ключевые слова:
нижняя полая вена, опухолевый тромб, piggyback мобилизация печени, поперечный тоннель
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