Combined Hepatic and Inferior Vena Cava Resection for Colorectal Cancer
Jean-Sébastien Pelletier, Richdeep S. Gill* and David L. Bigam
Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
- *Corresponding Author:
- Dr. Richdeep S. Gill
9-50 Medical Sciences Building
University of Alberta, Edmonton, Alberta, Canada
E-mail: [email protected]
Received date: November 28, 2011; Accepted date: December 06, 2011; Published date: December 12, 2011
Citation: Pelletier JS, Gill RS, Bigam DL (2011) Combined Hepatic and Inferior Vena Cava Resection for Colorectal Cancer. Surgery S4:001. doi:10.4172/2161-1076.S4-001
Copyright: © 2011 Gill RS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Hepatic metastases occur in up to half of all colorectal cancers, the third most common malignancy in the United States. Surgery provides the only chance for cure in this clinical situation and indications for resection are broadening. Colorectal metastases can invade the inferior vena cava, owing to its intimate association with the liver. While these lesions were historically classified as unresectable, surgical proficiency has progressed to the point that they can frequently be removed via a complex resection. Patient selection with the help of a multidisciplinary team and the careful use of pre-operative imaging studies is essential to maximize results. It is also critical that the operative surgeon is experienced with the complex anatomy, the resection techniques and the instruments available. While inferior vena cava invasion from colorectal cancer metastases is a poor prognostic factor, the evidence suggests that a combined hepatic and inferior vena cava resection can be performed with an acceptably low operative mortality and provides the best chance for long-term survival.