Del Campo C, Konok G P
Division of Vascular Surgery, Camp Hill Medical Centre, Halifax, NS.
Can J Surg. 1994 Feb;37(1):59-61.
Complete surgical excision of malignant tissue is mandatory for the long-term survival of patients with hepatic metastases from colorectal carcinoma. Involvement of the inferior vena cava (IVC) may prevent this resection. The authors describe the case of a 64-year-old man who underwent right hepatic lobectomy for metastases from colorectal carcinoma. Partial involvement of the IVC by tumour necessitated resection of a large portion of its wall. Venous continuity was re-established with a large bovine pericardial patch. At follow-up 2 years after the repair, the IVC was still patent and the vessel diameter was normal. On enhanced computed tomography, the patch was indistinguishable from the native vessel.
对于结直肠癌肝转移患者的长期生存而言，完整切除恶性组织是必不可少的。下腔静脉（IVC）受累可能会妨碍这种切除手术。作者描述了一名64岁男性的病例，该患者因结直肠癌转移接受了右肝叶切除术。肿瘤部分侵犯下腔静脉，因此需要切除其大部分管壁。使用一大块牛心包补片重建了静脉连续性。修复术后2年的随访显示，下腔静脉仍然通畅，血管直径正常。在增强计算机断层扫描上，补片与天然血管难以区分。
