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Surgical Approaches to Supradiaphragmatic Segment of IVC and Right Atrium through Abdominal Cavity during Intravenous Tumor Thrombus Removal
Joint Authors
Hsaine, Redouane
Khareba, Gennadiy
Lesovoy, Vladimir
Shchukin, Dmytro
Garagatiy, Igor
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-22
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objective.
The purpose of this study was to investigate safety and feasibility of some surgical approaches to the supradiaphragmatic inferior vena cava (IVC) and the right atrium through the diaphragm from the abdominal cavity.
Materials and Methods.
The material of the anatomical study included 35 fresh cadavers.
Several options of surgical access to the supradiaphragmatic IVC were successively performed.
Feasibility and risk level of each of the approaches were evaluated with the use of a special scale.
Results.
The isolation of the supradiaphragmatic IVC and cavoatrial junction was most easily performed via T-shaped or circular diaphragmotomy (grade “easy” was registered in 74.3% and 80% of patients, resp., compared to 31.4% for transverse diaphragmotomy and 40% for isolation of the IVC in the pericardial cavity).
The risk analysis has demonstrated the highest safety level for T-shaped diaphragmotomy (grade “safe” was registered in 60% of cases).
The intervention via transverse diaphragmotomy, circular diaphragmotomy, and IVC isolation in the pericardial cavity was graded as “risky” in 80%, 62.9%, and 82.9% of cases, respectively.
Conclusions.
In our opinion, T-shaped diaphragmotomy is the most safe and easy-to-perform access for mobilization of the supradiaphragmatic IVC through the abdominal cavity.
American Psychological Association (APA)
Shchukin, Dmytro& Lesovoy, Vladimir& Garagatiy, Igor& Khareba, Gennadiy& Hsaine, Redouane. 2014. Surgical Approaches to Supradiaphragmatic Segment of IVC and Right Atrium through Abdominal Cavity during Intravenous Tumor Thrombus Removal. Advances in Urology،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-508483
Modern Language Association (MLA)
Shchukin, Dmytro…[et al.]. Surgical Approaches to Supradiaphragmatic Segment of IVC and Right Atrium through Abdominal Cavity during Intravenous Tumor Thrombus Removal. Advances in Urology No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-508483
American Medical Association (AMA)
Shchukin, Dmytro& Lesovoy, Vladimir& Garagatiy, Igor& Khareba, Gennadiy& Hsaine, Redouane. Surgical Approaches to Supradiaphragmatic Segment of IVC and Right Atrium through Abdominal Cavity during Intravenous Tumor Thrombus Removal. Advances in Urology. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-508483
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-508483