Humaerhan J, Jiang TM, Aji T, Shao YM, Wen H. Complex inferior vena cava reconstruction during ex vivo liver resection and autotransplantation: A case report. World J Clin Cases 2023; 11(23): 5602-5609 [PMID: 37637699 DOI: 10.12998/wjcc.v11.i23.5602]
Corresponding Author of This Article
Hao Wen, PhD, Chief Doctor, State Key Laboratory of Pathogenesis, Prevention and Management of High Incidence Diseases in Central Asia, The First Clinical Medical College of Xinjiang Medical University, No. 137 Leiyueshan South Road, Xincheng District, Urumqi 830054, Xinjiang Uygur Autonomous Region, China. dr.wenhao@163.com
Research Domain of This Article
Transplantation
Article-Type of This Article
Case Report
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/
Jiayidaer Humaerhan, Tie-Min Jiang, Tuerganaili Aji, Ying-Mei Shao, Hao Wen, Department of Hepatobiliary & Hydatid Diseases, Digestive & Vascular Surgery Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
Jiayidaer Humaerhan, Tie-Min Jiang, Tuerganaili Aji, Hao Wen, State Key Laboratory of Pathogenesis, Prevention and Management of High Incidence Diseases in Central Asia, The First Clinical Medical College of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
Ying-Mei Shao, Xinjiang Clinical Research Center for Echinococcosis and Hepatobiliary Diseases, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
Author contributions: Humaerhan J and Jiang TM contributed to manuscript writing and editing, and data collection; Aji T and Shao YM contributed to data analysis; Wen H contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Supported byKey Laboratory Opening Topic Fund Subsidization: The Regulation of Sympathetic Nerve in Liver Regeneration in Hepatic Alveolar Echinococcosis, No. 2021D04024.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
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, PhD, Chief Doctor, State Key Laboratory of Pathogenesis, Prevention and Management of High Incidence Diseases in Central Asia, The First Clinical Medical College of Xinjiang Medical University, No. 137 Leiyueshan South Road, Xincheng District, Urumqi 830054, Xinjiang Uygur Autonomous Region, China. dr.wenhao@163.com
Received: May 24, 2023 Peer-review started: May 24, 2023 First decision: June 19, 2023 Revised: July 1, 2023 Accepted: July 17, 2023 Article in press: July 17, 2023 Published online: August 16, 2023 Processing time: 83 Days and 13.7 Hours
Core Tip
Core Tip:Ex vivo liver resection and autotransplantation (ELRA) is an essential approach to cure end-stage hepatic alveolar echinococcosis (AE). Revascularization is a central and challenging step in the process of ELRA when the invaded vessels have large defects. Here, we report the case of a 26-year-old patient with hepatic AE in an autologous liver graft who underwent complex inferior vena cava (IVC) reconstruction using disease-free IVC, autologous portal vein fragments and umbilical vein within the ligamentum teres hepatis and with good surgical recovery without vascular-related complications at long-term follow-up. This study demonstrate that the blood vessel is severely invaded and a single vascular material cannot repair and reconstruct the defect, this technique may provide a feasible surgical option for revascularization during ELRA and has good prospects for clinical application.
