A. Li1, A. Li1 1Eastern Hepatobiliary Surgery Hospital,Division Of The 2nd Special Treatment,Shanghai, SHANGHAI, China
Introduction:
Radical surgery remains the main treatment for the patients with liver cancer,But resectability rate is low when clinically diagnosed, portal vein,hepatic vein or inferior caval vein invaded by tumors are a few of the main reasons.How to increase resectability ofliver cancer still is very challenging to the clinician. This study was clone to explore the feasibility of the new surgical approach for the treatment of liver cancer with portal vein,hepatic vein or inferior caval vein invasion.
Methods:
25 patients received hepatectomy with vascular reconstruction between February 2011 and June 2018. 15 patients with ICC underwent hepatectectomy combined with portal vein resection and vascular reconstruction and 5 patients with ICC underwent hepatectomy combined with inferior caval vein resection and vascular reconstruction. 4 patients with HCC underwent hepatectomy combined with inferior caval vein resection and vascular reconstruction, 1 patient with HCC underwent hepatectomy combined with hepatic vein resection and vascular reconstruction.
Results:
There was no surgery related death. After surgery,3 patients died 10 months later, 20 patient died 24 months later, two patients survived for over 3 years and one patient over 4 years.
Conclusion:
Hepatectomy with vascular reconstruction for patients with carcinoma of the liver invading portal vein,hepatic vein or inferior caval vein has been proved to be a safe treatment, it could improve the resectability of the tumor and prolong survival.