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. 2016 Dec;2(1):132.
doi: 10.1186/s40792-016-0258-y. Epub 2016 Nov 12.

Liver resection with right hepatic vein reconstruction using the internal jugular vein: a case report

Tomonari Shimagaki  1 , Tomoharu Yoshizumi  2 , Shinji Itoh  1 , Takashi Motomura  1 , Akihisa Nagatsu  1 , Noboru Harada  1 , Norifumi Harimoto  1 , Toru Ikegami  1 , Yuji Soejima  1 , Yoshihiko Maehara  1
Affiliations

Liver resection with right hepatic vein reconstruction using the internal jugular vein: a case report

Tomonari Shimagaki et al. Surg Case Rep. 2016 Dec.

Abstract

Background: The role of hepatectomy for malignant liver tumors has expanded during the past decades, and vascular reconstruction during liver resection is sometimes necessary to achieve curative surgery.

Case presentation: We report a case of liver resection in a 54-year-old male who had liver metastasis that invaded the right hepatic vein. He had undergone laparoscopic low anterior resection for rectal cancer. Six months later, liver metastasis was detected. After the reduction of the tumor by preoperative chemotherapy, liver resection with right hepatic vein reconstruction using his own internal jugular vein graft was performed. The postoperative course was uneventful, and the patient was discharged 8 days after the surgery.

Conclusions: Internal jugular vein grafts are superior to other types of vascular grafts for vascular reconstruction in liver surgery.

Keywords: Hepatic vein reconstruction; Internal jugular vein graft; Liver resection.

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Figures

Fig. 1
Fig. 1
Preoperative computed tomography images of the liver, before (a) and after (b) chemotherapy. RHV right hepatic vein, MHV middle hepatic vein
Fig. 2
Fig. 2
The volumetric analyses of future remnant liver; RHV reconstruction (−) and RHV reconstruction (+). The rate of the resection liver volume (segments 7 and 8) = 6.7% (blue zone). RHV right hepatic vein
Fig. 3
Fig. 3
a Diagram showing metastatic tumor infiltration into the right hepatic vein (RHV) and V8. b Intraoperative image showing liver resection (segments 7 and 8) with RHV reconstruction using an internal jugular vein (IJV) graft. MHV middle hepatic vein, IVC inferior vena cava
Fig. 4
Fig. 4
a Tumor, macroscopic findings. b Tumor, microscopic findings. Histological examination revealed moderately differentiated adenocarcinoma (arrow). RHV right hepatic vein
Fig. 5
Fig. 5
Enhanced computed tomography image of the liver in three phases on postoperative 7. The reconstructed hepatic vein was patent (arrow), and there was no hepatic congestion or ascites. IJV internal jugular vein
See this image and copyright information in PMC

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