ArticleSurgery today2007
Combined liver and inferior vena cava resection for adrenocortical carcinoma.
Article in Surgery today, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 27 citations in OpenAlex.
- [Resection strategies for adrenocortical carcinoma].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Review
- Liver resection combined with inferior vena cava resection and reconstruction using artificial vascular graft: A literature review.Annals of gastroenterological surgery · 2018Article
- Review
- Adrenocortical carcinoma with inferior vena cava, left renal vein and right atrium tumor thrombus extension.International journal of surgery case reports · 2015Article
- Successful treatment of adrenocortical carcinoma with pulmonary metastasis in a child: report of a case.Surgery today · 2008Article
- Adrenocortical Carcinoma with a Renal Vein Thrombus Extending to the Inferior Vena Cava Successfully Resected with the Left Kidney and Distal Pancreatectomy: A Case Report.Case reports in oncologyArticle
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdrenocortical carcinoma (ACC) is a rare malignancy, usually diagnosed at an advanced stage when it has invaded or adhered to adjacent organs. We report our experience of performing combined liver and inferior vena cava (IVC) resection for ACC.
methodsSix patients with clinical stage III (n = 4) or IV (n = 2) ACC underwent combined resection of the liver and IVC. Two patients underwent extended right hepatectomy, and four underwent segmentectomy. In four patients, the IVC was resected segmentally: it was replaced with expanded polytetrafluoroethylene (ePTFE) in three of these patients, and not reconstructed in one. In two patients, the IVC was partially resected and closed directly.
resultsPerioperative mortality was zero, and morbidity was 33.3%, with temporary liver failure in two patients and renal failure in one patient. Recurrence was found within 8.1 months in three (50%) of the six patients. The mean recurrence-free survival period was 20.1 +/- 7.7 months (95% confidence interval [CI]: 5.1-35.4), and the median survival time was 6.1 +/- 9.8 months (95% CI: 00-25.3). The 5-year disease-free survival rate was 16.7%.
conclusionsPatients with ACC involving both the liver and IVC are candidates for partial hepatectomy and segmental IVC resection. Resection affords the possibility of negative margins, acceptable perioperative morbidity and mortality, and prolonged survival in some patients.
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