Successful use of the left portal vein as graft for middle hepatic vein reconstruction in left hemihepatectomy: preliminary experience on six cases

Right hepatic vein reconstruction in middle hepatectomy: A case report

Background

Surgical resection is the only treatment modality that ensures complete tumor removal in patients with liver tumors involving a major hepatic vein. Central hepatectomy is a challenging procedure that often result in large defect at the right hepatic vein, which is not amenable to suturing or end-to-end anastomosis. Meanwhile, good outflow reconstruction is essential for early postoperative recovery and long-term survival.

Methods

We describe a simple technique for reconstructing the right hepatic vein. The technique is an effective method for reconstructing large venous defects after the hepatic vein resection. Reconstruction of the right hepatic vein has the advantages of prevention of congestion in segments VI and VII.

Conclusions

This technique allows surgeons to reconstruct the hepatic vein without synthetic vascular grafts and cryopreserved veins.

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A new technique is a simple and effective method to reconstruct large vein defects after the hepatic vein resection without synthetic vascular grafts and cryopreserved vein.

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Reconstruction of the RHV has the advantages of prevention of congestion at segments 6 and 7.