Ex vivo liver resection and autotransplantation with IVC reconstruction using a Dacron graft was successfully performed without postoperative complications in a patient with IVC leiomyosarcoma.
Case Report (n=1)
Ex vivo liver resection and autotransplantation with IVC reconstruction is a viable surgical option for complex IVC leiomyosarcomas when standard resection is not feasible.
We report a case of leiomyosarcoma of the inferior vena cava (IVC) treated with liver resection, autotransplantation, and IVC reconstruction using a Dacron graft. A 47‐year‐old female presented with mild to moderate lower extremity edema and weakness. Physical examination revealed no abdominal or pelvic abnormalities. However, further evaluation confirmed a tumor in the suprarenal IVC, extending to the hepatic veins, with thrombus formation in the suprahepatic IVC. During surgery, the tumor was confirmed to originate from the IVC. Given its proximity to the hepatic veins, an ex vivo liver resection and autotransplantation (ELRA) were performed, followed by IVC reconstruction using a Dacron graft via the piggyback technique. The patient experienced no postoperative complications. Although liver resection and autotransplantation are considered extremely aggressive procedures, they can be viable options in cases where complete surgical resection is not feasible using standard techniques.
Rabbani et al. (Thu,) conducted a case report in Leiomyosarcoma of the inferior vena cava (IVC) (n=1). Ex vivo liver resection and autotransplantation (ELRA) with IVC reconstruction was evaluated on Postoperative complications. Ex vivo liver resection and autotransplantation with IVC reconstruction using a Dacron graft was successfully performed without postoperative complications in a patient with IVC leiomyosarcoma.