Chirurgia del Fegato a Firenze!

Dal 1° Marzo 2023, Chirurgia del Fegato sarà all'Università di Firenze
AOUC Azienda Ospedaliero-Universitaria Careggi - Largo Brambilla, 3 - 50134 Firenze

Il peritoneo viene usato per riparare difetti nelle strutture vascolari del fegato durante una resezione epatica

Il gruppo del Royal Prince Alfred Hospital, a Annerley, in Australia, propone l’uso del peritoneo parietale per sostituire o riparare difetti di parete dei vasi infiltrati dal tumore durante le resezioni epatiche.

La referenza bibliografica per questo evento è:

P. T. Chin, P. J. Gallagher, M. S. Stephen: Inferior vena caval resection with autogenous peritoneo-fascial patch graft caval repair: A new technique. In: Australian and New Zealand Journal of Surgery, vol. 69, no 5, pp. 391 – 392, 1999, ISSN: 00048682, (Cited by: 28).

Abstract

Background: In the course of oncological surgery, resection of the inferior vena cava (IVC) may be required to obtain an adequate resection margin and to offer the best opportunity of cure. The remaining defect in the IVC may be managed by: (i) primary repair which may lead to subsequent narrowing of the lumen, possibly leading to turbulent flow and thrombus formation; (ii) patch grafting of the defect, which may prevent narrowing. Several synthetic and biosynthetic materials are available as patch grafts and autologous pericardium has also been used. Methods: The harvesting and use of the autogenous peritoneo-fascial (APF) graft as an alternative caval patch graft material in the management of defects in the caval wall is proposed. Autogenous peritoneo-fascial caval patch graft repair in six patients was undertaken. Results: One patient with leiomyosarcoma secondaries in the liver eventually succumbed to the disease. The other five patients are clinically well with no evidence of IVC obstruction or venous aneurysms. Conclusion: Preliminary results show that this new technique of utilizing an APF patch graft for caval repair is clinically a suitable alternative to current biosynthetic and synthetic materials and may in fact be superior in many aspects.

manda un messaggio a https://t.me/@ChirurgiaFegato

Invia subito una richiesta con Telegram

Apri direttamente Telegram ed inviaci un SMS veloce e sicuro: riceverai una risposta alla tua necessità in tempi brevissimi

Chirurgia del Fegato all'Università di Firenze!

Chirurgia Epato-Bilio-Pancreatica

AOUC Azienda Ospedaliero-Universitaria Careggi
Largo Brambilla, 3 – 50134 Firenze

Manda una mail a: info@chirurgiadelfegato.it

oppure

Invia un messaggio con Telegram