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Case Reports in Urology
Volume 2013, Article ID 129632, 4 pages
Case Report

Formation of a Tunnel under the Major Hepatic Vein Mouths during Removal of IVC Tumor Thrombus

1Kharkov National Medical University, 4 Lenina Avenue, Kharkov 61022, Ukraine
2V.I. Shapoval Regional Clinical Center of Urology and Nephrology, 195 Moskovskiy Avenue, Kharkov 61037, Ukraine

Received 25 July 2013; Accepted 5 September 2013

Academic Editors: J. P. Gearhart and A. Greenstein

Copyright © 2013 Dmytro Shchukin. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study describes a clinical observation of successful implementation of a new surgical maneuver: formation of a cross tunnel under the mouths of the major hepatic veins during removal of a tumor thrombus of the inferior vena cava. This surgical technique helps avoid the usage of   “piggyback” mobilization of the liver and the complications associated with it. However, for objective evaluation of this approach, a further clinical study is required.