Hepatectomia direita ampliada com ressecção parcial da veia cava para metástase colorretal: relato de caso

• Autor(a) principal: Costa, Sergio Renato Pais [UNIFESP]
• Data de Publicação: 2010
• Outros Autores: Lima, Olímpia Alves Teixeira, Cunha, Túlio Marcos Rodrigues Da, Soares, Aloisio Fernandes
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0101-98802010000200017; http://repositorio.unifesp.br/handle/11600/5751
• topic: Colorectal neoplasm, Hepatectomy; Neoplasm metastasis; Liver neoplasm; Survival rate; Neoplasias colorretais; Hepatectomia; Metástase neoplásica; Neoplasias hepáticas; Taxa de Sobrevida

Introduction: Hepatectomy has been standard treatment for metastases from colorectal origin (CR). Metastases with inferior vena cava (IVC) involvement may require combined resection of the liver and IVC. This approach may present high surgical risk, Both profuse bleeding and gas embolism are letal intraoperative complications. Case: The authors present a case of single hepatic CR metastasis that was treated by means extended right hepatectomy with partial inferior vena cava resection and primary reconstruction. Patient present good postoperative course without neoplasm recurrence (one year follow-up period). Conclusion: Resection of VCI and combined reconstruction with hepatectomy may be satisfactorily done in selected cases. Lack of alternative treatments associated poor prognosis of untreated cases has justified this aggressive conduct. Therefore, this approach should be realized by hepatic surgery expertise team.