Multimodal transesophageal echocardiography in the surgical resection of patients with hepatocellular carcinoma and inferior vena cava tumor thrombus DOI Open Access

Baochun Lai,

Yonghuo Ye,

Demetrios Moris

et al.

Journal of Gastrointestinal Oncology, Journal Year: 2024, Volume and Issue: 15(6), P. 2588 - 2598

Published: Dec. 1, 2024

The incidence and mortality rate of hepatocellular carcinoma (HCC) are increasing globally. HCC with inferior vena cava tumor thrombus (HCCIVCTT) represents an advanced stage the disease. Research suggests that for patients HCCIVCTT, liver resection combined thrombectomy is a safe feasible option can provide moderate survival benefit. aim this study was to evaluate application value multimodal transesophageal echocardiography (TEE) in perioperative period HCCIVCTT. TEE used routine intraoperative examination 17 determine location classification thrombi, guide proper placement occlusion band during surgery, whether completely removed postoperatively. Among thrombi invaded hepatic veins extended into cava, 3 cases extension right atrium. varied shape, size, echogenicity, high-velocity turbulent flow signals observed within occluded vessels. There were 10 type I, 4 II, III. Under guidance TEE, preocclusion bands successfully placed above I II patients, real-time dynamic monitoring showing no rupture or dislodgement postoperatively, appeared be removed. plays important role management It aid deterring thrombus, selecting suitable surgical method, postoperatively assessing completeness removal.

Language: Английский

Recent advances in systemic therapies for unresectable hepatocellular carcinoma and their impact on clinical outcomes DOI Open Access
Kyoko Oura

Hepatology Research, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

Author declares no conflict of interests for this article.

Language: Английский

Citations

0
Multimodal transesophageal echocardiography in the surgical resection of patients with hepatocellular carcinoma and inferior vena cava tumor thrombus DOI Open Access

Baochun Lai,

Yonghuo Ye,

Demetrios Moris

et al.

Journal of Gastrointestinal Oncology, Journal Year: 2024, Volume and Issue: 15(6), P. 2588 - 2598

Published: Dec. 1, 2024

The incidence and mortality rate of hepatocellular carcinoma (HCC) are increasing globally. HCC with inferior vena cava tumor thrombus (HCCIVCTT) represents an advanced stage the disease. Research suggests that for patients HCCIVCTT, liver resection combined thrombectomy is a safe feasible option can provide moderate survival benefit. aim this study was to evaluate application value multimodal transesophageal echocardiography (TEE) in perioperative period HCCIVCTT. TEE used routine intraoperative examination 17 determine location classification thrombi, guide proper placement occlusion band during surgery, whether completely removed postoperatively. Among thrombi invaded hepatic veins extended into cava, 3 cases extension right atrium. varied shape, size, echogenicity, high-velocity turbulent flow signals observed within occluded vessels. There were 10 type I, 4 II, III. Under guidance TEE, preocclusion bands successfully placed above I II patients, real-time dynamic monitoring showing no rupture or dislodgement postoperatively, appeared be removed. plays important role management It aid deterring thrombus, selecting suitable surgical method, postoperatively assessing completeness removal.

Language: Английский

Citations

0