Surgical Resection for HCC invading the Inferior Vena Cava: using veno-venous bypass and saphenous vein patch graft / 한국간담췌외과학회지

Technical advancement, accurate preoperative diagnosis, understanding of hepatic architecture and function, and enhanced anesthetic support have expanded the indications of hepatic resection while lowering perioperative morbidity and mortality. Especially in cases of infiltration of retrohepatic vena cava by tumor, aggressive hepatic resection involving the inferior vena cava( IVC ) has become safe and feasible using total vascular isolation(TVI) with veno-venous bypass and patch grafting. Authors reported a case of curative resection for hepatocellular carcinoma invading the inferior vena cava using TVI with veno-venous bypass and saphenous vein patch graft