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| A ten-year experience of inferior vena cava reconstruction for malignancy: The importance of a multidisciplinary approach with hepatobiliary surgery |
| Maria R. Baimas-George a , Ryan C. Pickens a , Jesse K. Sulzer a , Dionisios Vrochides a , John B. Martinie a , David M. Levi b , David A. Iannitti a , ∗ |
a Division of Hepatopancreatobiliary Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 600, Charlotte, NC
28204, USA
b Division of Transplant Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
∗ Corresponding author.
E-mail address: david.Iannitti@atriumhealth.org (D.A. Iannitti). |
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Abstract Tumor invasion of the inferior vena cava (IVC) through direct erosion is a rare and poor prognostic feature of aggressive hepatic or perihepatic malignancies [1,2] . Literature shows poor response to chemotherapy, such that resection often is the only option for improved survival [3] . Multidisciplinary collaborations can expand technical options; incorporation of transplant techniques has led to successful R0 resection involving difficult vascular reconstruction and extended resection [4,5] . This study describes and analyzes the ten-year collaborative experience of hepatobiliary (HPB) surgeons in management of malignancies involving the perihepatic IVC.
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2020, Vol. 19 
