Involvement of the inferior vena cava (IVC) by @entity99 , although uncommon, is considered to be unresectable by standard surgical techniques. Recent advances in hepatic surgery have made combined hepatic and vena caval resection possible. The purpose of this study is to describe the surgical techniques and early results of combined resection of the liver and IVC. From 1997 to 2000, 11 @entity1 underwent resection of the IVC along with four to seven liver segments. Resections were carried out for @entity157 (four); colorectal metastases (four); and @entity4177 , @entity674 metastases, and @entity957 in one @entity1 each. Ex vivo procedures were performed twice, and total vascular isolation was used in the nine other cases. The IVC was reconstructed with ringed Gore-Tex tube graft (five), primarily (five), or with Gore-Tex patches (one). There were two early deaths: one from @entity1578 at 3 weeks and one from sepsis secondary to a perforated segment of small bowel 4 months postresection. One @entity1 with a @entity674 died at 32 months of recurrent @entity5 and one @entity1 with @entity157 is alive with recurrent @entity5 at 16 months. The remaining @entity1 are alive and disease free with follow-up ranging from 3 to 40 months without evidence of @entity432 . Combined resection of the liver and IVC is a formidable undertaking with substantial surgical risk. However, this aggressive surgical approach offers a chance for cure in @entity1 with @entity5 involving the IVC that would otherwise have a dismal prognosis.

Resection of the inferior vena cava for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity957 :: ('MESH:D002294', 'Disease') :: ['squamous cell carcinoma'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['liver failure'] @entity674 :: ('MESH:D046152', 'Disease') :: ['gastrointestinal stromal tumor'] @entity432 :: ('MESH:D001157', 'Disease') :: ['IVC occlusion'] @entity157 :: ('MESH:D006528', 'Disease') :: ['hepatocellular carcinoma'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic tumors'] @entity4177 :: ('MESH:D018197', 'Disease') :: ['hepatoblastoma']
@entity99 :: (MESH:D056486,Disease) :: ['hepatic malignancy']
