Maimaitinijiati Y, AJi T, Jiang TM, Ran B, Shao YM, Zhang RQ, Guo Q, Wang ML, Wen H. Approaches to reconstruction of inferior vena cava by ex vivo liver resection and autotransplantation in 114 patients with hepatic alveolar echinococcosis. World J Gastroenterol 2022; 28(31): 4351-4362 [PMID: 36159005 DOI: 10.3748/wjg.v28.i31.4351]
Corresponding Author of This Article
Hao Wen, MD, PhD, Chief Doctor, Professor, State Key Laboratory on Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, The First Clinical College, Xinjiang Medical University, No. 8 Liyushan South Road, Xinshi District, Xinjiang Uygur Autonomous Region 830011, Xinjiang, China. surgeon0309@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Aug 21, 2022; 28(31): 4351-4362 Published online Aug 21, 2022. doi: 10.3748/wjg.v28.i31.4351
Approaches to reconstruction of inferior vena cava by ex vivo liver resection and autotransplantation in 114 patients with hepatic alveolar echinococcosis
Yusufukadier Maimaitinijiati, Tie-Min Jiang, Hao Wen, State Key Laboratory on Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, The First Clinical College, Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Yusufukadier Maimaitinijiati, Tuerganaili AJi, Tie-Min Jiang, Bo Ran, Ying-Mei Shao, Rui-Qing Zhang, Qiang Guo, Mao-Lin Wang, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Ying-Mei Shao, Hao Wen, Xinjiang Organ Transplant Institution, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uygur Autonomous Region, China
Author contributions: Maimaitinijiati Y contributed to the conception and design, and drafting of the article; Maimaitinijiati Y and Ran B contributed to the acquisition of data, analysis, and interpretation of data; Jiang TM, Tuerganaili A, and Wen H contributed to the conception and design, and provision of study material; Jiang TM, Zhang RQ, Guo Q, and Wang ML contributed to the data collection; Shao YM did provision of study material; Zhang RQ analyzed the data; Wen H did final approval of the version to be submitted.
Institutional review board statement: The study was approved by the Human Ethics Committee of the First Affiliated Hospital of Xinjiang Medical University and conducted in accordance with the Declaration of Helsinki. All data were analyzed anonymously.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hao Wen, MD, PhD, Chief Doctor, Professor, State Key Laboratory on Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, The First Clinical College, Xinjiang Medical University, No. 8 Liyushan South Road, Xinshi District, Xinjiang Uygur Autonomous Region 830011, Xinjiang, China. surgeon0309@126.com
Received: February 11, 2022 Peer-review started: February 11, 2022 First decision: May 29, 2022 Revised: June 10, 2022 Accepted: July 25, 2022 Article in press: July 25, 2022 Published online: August 21, 2022 Processing time: 186 Days and 9.9 Hours
ARTICLE HIGHLIGHTS
Research background
Ex vivo liver resection and auto-transplantation (ELRA) can better realize the radical resection of end-stage hepatic alveolar echinococcosis (AE) with severely compromised hepatocaval confluences, and the reconstruction of the affected vessels.
Research motivation
There are no clear consensus has been reached on the strategy for retrohepatic inferior vena cava (RHIVC) reconstruction in ELRA.
Research objectives
To provide a strategy of RHIVC reconstruction for end-stage hepatic AE patients with hepatocaval confluence infiltration.
Research methods
The clinical data of 114 patients, including the operation time, anhepatic phase, intraoperative blood loss, complications and postoperative hospital stay, were analyzed and the patients were routinely followed up.
Research results
We found a lower survival rate in group C (resection without reconstruction method) than in groups A (self-suture repairing method) and B (replacement method). Also, the complications rate was higher in group C.
Research conclusions
The RHIVC reconstruction methods should be selected appropriately depending on the defect degree of AE lesions in IVC lumen.
Research perspectives
Our strategies can serve as a reference for IVC reconstruction in liver transplantation.
