The teams of surgeons and cardiac surgeons performed a rare liver resection with removal of the tumor plug from the inferior vena cava using temporary veno-venous extracorporeal oxygenation ECMO with simultaneous coronary artery bypass grafting.
The indication for treatment in a 63-year-old patient was a primary tumor of the right lobe of the liver that had penetrated into the inferior vena cava. Surgical treatment was preceded by radiochemoebolization of the right portal vein branch. Due to the advanced coronary artery disease, the patient was scheduled for simultaneous cardiac surgery. Synchronous coronary artery bypass surgery and right hepatic resection with removal of the tumor plug from the inferior vena cava via the right hepatic vein and inferior vena cava wall were performed. An extensive liver resection was performed, after the closure of the vena cava under the liver above the renal vein outlet.
The work of two operating teams on this complex procedure was possible thanks to the preparations carried out by Joanna Jabłonowska, acting manager of the Operating Room, and Jolanta Budny, coordinating nurse.
The surgical team led by Prof. Pawel Nyckowski and the cardiac surgery team led by Pawel Czub, MD, PhD, participated in the surgery. The physicians were accompanied by instrumentation nurses. The anesthesiology team was headed by Renata Andrzejewska, MD, PhD.
After the surgery the patient stayed in the Department of Cardiac Surgery headed by Piotr Hendzel, MD, PhD, the surgical care was provided by the team of the Department of General, Gastroenterological and Oncological Surgery headed by professor Maciej Słodkowski. The patient was in a good general condition and was discharged home.
