Benefits of Liver Transplantation Surgical Techniques in the Management of Extensive Retroperitoneal Tumors

Abstract

Liver transplantation surgical principles help achieve exposure and vascular control of major vascular structures that enable safe resection of these extensive retroperitoneal tumors.

Transplantation techniques for the resection of renal cell carcinoma with tumor thrombus: A technical description and review

“…For example, Facciuto et al reported their experiencing treating 24 patients with a variety of retroperitoneal tumors: 17 (70.8%) cases of RCC, 2 (8.3%) cases of ACC (1 with concomitant hepatocellular carcinoma), and 1 (4.2%) case each of leiomyosarcoma, liposarcoma, metastatic endometrial spindle cell sarcoma, transitional cell carcinoma, and cholangiocarcinoma [38]. Of these patients, 14 (58.3%) had IVC involvement.…”

Surgery for renal cell cancer extending into the inferior vena cava – evaluation of survival and perioperative complications using a standardized classification system

“…These techniques are also used in cases of intrahepatic thrombus localization. Complete visualization of the inferior vena cava allows perfect control of the thrombus and safe and complete excision even of intra‐atrial thrombi [15].…”

Aggressive combined resection of hepatic inferior vena cava, with replacement by a ringed expanded polytetrafluoroethylene graft, in living‐donor liver transplantation for hepatocellular carcinoma beyond the Milan criteria

“…IVC resection and reconstruction combined with liver resection for hepatic malignancy or extensive retroperitoneal tumor involving the retrohepatic IVC can be performed safely at high‐volume centers specializing in both liver surgery and LT, by the introduction of clinical procedures applied for standard orthotopic LT (OLT), including the surgical technique, the use of VVB, and the anesthetic management []. We applied hepatic venacaval resection, with replacement of the hepatic IVC with an e‐PTPE vascular graft, in LDLT for HCC exceeding the MC.…”

“…In Case 1, the reconstruction of the IVC was completed first, and then each of the common orifices of the host and the liver graft were anastomosed for the graft's outflow. In Case 2, where the common orifice expanded to the IVC wall was used to anastomose the common orifice of the left lobe graft with the Spiegel lobe, the outflow of the liver graft was reconstructed after establishment of the anastomosis between the upper stump of the IVC and the e-PTFE tube, and this was followed by an anastomosis between the lower stump of the IVC and the e-PTFE tube Discussion IVC resection and reconstruction combined with liver resection for hepatic malignancy or extensive retroperitoneal tumor involving the retrohepatic IVC can be performed safely at high-volume centers specializing in both liver surgery and LT, by the introduction of clinical procedures applied for standard orthotopic LT (OLT), including the surgical technique, the use of VVB, and the anesthetic management [5][6][7]. We applied hepatic venacaval resection, with replacement of the hepatic IVC with an e-PTPE vascular graft, in LDLT for HCC exceeding the MC.…”