Praseedom Raaj K, Dhar Puneet, Jamieson Neville V, Wallwork John, Bergman Ivan, Lomas David J
Department of Hepato-Pancreato-Biliary and Transplant Surgery, Addenbrooke's Hospital, UK.
Surg Innov. 2007 Dec;14(4):287-91. doi: 10.1177/1553350607307276.
Leiomyosarcoma of the retrohepatic inferior vena cava is a rare entity and presents a number of diagnostic and therapeutic challenges. Here such a case is presented in which the retrohepatic inferior vena cava was excised after full mobilization of the liver under venovenous bypass. The continuity of the vena cava was restored with cryopreserved aortic homograft. The technical details with regard to total vena caval clamping, venovenous bypass, hepatic inflow occlusion, techniques of reconstruction, including the use of cryopreserved aortic homograft, and a brief review of the literature on the surgical management of retrohepatic inferior vena caval tumors are discussed.
肝后下腔静脉平滑肌肉瘤是一种罕见的疾病，在诊断和治疗方面存在诸多挑战。本文介绍了这样一例病例，即在静脉-静脉转流下充分游离肝脏后切除肝后下腔静脉。使用冷冻保存的主动脉同种异体移植物恢复了腔静脉的连续性。讨论了全腔静脉阻断、静脉-静脉转流、肝血流阻断、重建技术（包括使用冷冻保存的主动脉同种异体移植物）的技术细节，以及关于肝后下腔静脉肿瘤外科治疗的文献简要综述。
