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| 1 | 为瘤的劣等的静脉 cava 的切除术和重建显示文摘 AIM: To evaluate the results of an aggressive surgical approach of resection and reconstruction of the inferior vena cava (IVC). METHODS: The approach to caval resection depends on the extent and location of tumor involvement. The supraand infra-hepatic portion of the IVC was dissected and taped. Left and right renal veins were also taped to control the bleeding. In 12 of the cases with partial tangential resection of the IVC, the flow was reduced to less than 40% so that the vein was primarily closed with a running suture. In 3 of the cases, the lumen of the vein was significantly reduced, requiring the use of a polytetrafluoroethylene (PTFE) patch. In 2 of the cases with segmental resection of the IVC, a PTFE prosthesis was used and in 1 case, the IVC was resected without reconstruction due to shunting the blood through the azygos and hemiazygos veins. RESULTS: The mean operation time was 266 min (230-310 min) with an average intraoperative blood loss of 300 mL (200-2000 mL). The patients stayed in intensive care unit for 1.8 d (1-3 d). Mean hospital stay was 9 d (7-15 d). Twelve patients (66.7%) had no complications and 6 patients (33.3%) had the following complications: acute bleeding in 2 patients; bile leak in 2 patients; intra abdominal abscess in 1 patient; pulmonary embolism in 2 patients; and partial thrombosis of the patch in 1 patient. General complications such as pneumonia, pleural effusion and cardiac arrest were observed in the same group of patients. In all but 1 case, the complications were transient and successfully controlled. The mortality rate was 11.1% (n = 2). One patient died due to cardiac arrest and pulmonary embolism in the operation room and the second one died 2 d after surgery due to coagulopathy. With a median follow-up of 24 mo, 5 (27.8%) patients died of tumor recurrence and 11 (61.1%) are still alive, but three of them have a recurrence on computed tomography. CONCLUSION: There are a variety of options for reconstruction after resection of the IVC that offers a higher resectable rate and better prognosis in selected cases. | Nikola Nikolov Vladov Vassil Ivanov Mihaylov Nikolai Vassilev Belev Ventzislav Metodiev Mutafchiiski Ivelin Rumenov Takorov Sergei Kirilov Sergeev Evelina Hristova Odisseeva | 2012 | World Journal of Gastrointestinal Surgery2012，4，4： | 2 |
| 2 | Involvement of phosphatidylinositol-3-kinase in membrane ruffling induced by P-glycoprotein substrates in multidrug-resistant carcinoma cells显示文摘 | Yang JM Vassil A Hait WN | 2002 | Biochem Pharmacol2002，63，5： | 1 |
| 3 | The role of EDTA in lead transport and accumulation by Indian Mustard显示文摘 | VASSIL A D KAPULNIK Y RASKIN I | 1998 | Plant Physiol1998，117，： | 1 |
| 4 | The Role of EDTA in Lead Trans-port and Accumulation by Indian Mustard显示文摘 | Vassil A D Kapulnik Y Raskin L | 1998 | Plant Physoil1998，117，： | 1 |
| 5 | Modulation of bcl -2 and cytotox- icity by licochalcone - A, a novel estrogenic flavonoid 显示文摘 | Raft MM Rosen RT Vassil A | 2000 | Anticancer Res2000，20，4： | 1 |
| 6 | Electromagnetic field-induced stimulation of Bruton's tyrosine kinase 显示文摘 | Kristupaitis D Dibirdik I Vassile A | 1998 | J Biol Chem1998，273，12： | 1 |
| 7 | Modulation of bcl-2and cytotoxicity by licochalnone-A,a novel estrogemic flavonoid显示文摘 | RAFI MM ROSEN RT VASSIL A | 2000 | Anticancer Res2000，20，4： | 1 |
| 8 | Comparison of rofecoxib and oxyeodone plus acetaminophen in the Treatment of acute pain; a randomized, double-blind, placebo-controlled study in patients with moderate to severe postoperative pain in the third molar extraction model显示文摘 | KORN S VASSIL TC KOTEY PN | 2004 | Clin Ther2004，26，5： | 1 |
| 9 | Some variations of the circle of Willis, important for cerebral protection in aortic surgery — a study in Eastern Europeans显示文摘 | Vassil Papantchev Stanislav Hristov Daniela Todorova Emanuil Naydenov Adrian Paloff Dimitar Nikolov Alexander Tschirkov Wladimir Ovtscharoff | 2007 | European Journal of Cardio-Thoracic Surgery2007，，6： | 1 |
| 10 | Modulation of bcl-2 and cytotoxicity by licochalcone-A, a novel estrogenic flavonoid显示文摘 | ROSEN RT VASSIL A | 2000 | Anticancer Res2000，20，4： | 1 |
| 11 | The role of EDTA in lead transport and accumulation by Indian mustard显示文摘 | Vassil A D Kapulnik Y Raskin I | 1998 | Plant Physioh1998，117，： | 1 |
| 12 | The role of EDTA in lead transport and accumulation by Indian mustard显示文摘 | VASSIL A D KAPULNIK Y RASKIN I | 2004 | Plant Physiology2004，117，： | 1 |
| 13 | Dynamic stability of viscoelastic pipes on elastic foundations of variable modulus 显示文摘 | Vassilev Vassil M Djondjorov P A | 2006 | Journal of Sound and Vibration2006，297，3： | 1 |
| 14 | Regulation of expression of the multidrug resistance protein MRP1 by p53 in human prostate cancer cells 显示文摘 | Sullivan GF Yang JM Vassil A | 2000 | Clin Invest2000，105，9： | 1 |
| 15 | Multidecision-2 : A multicriteria decision support system 显示文摘 | Vassil Vassilev Mariana Vassileva Boris Staykov | 2008 | International Journal Information Technologies & Knowledge2008，2，3： | 1 |
| 16 | Treatment of multidrug resistant (MDR1) murine leukemia with P-glycoprotein substrates accelerates the course of the disease 显示文摘 | Yang JM Medina GY Vassil DJ | 1999 | Biochem Biophys Res Commun1999，266，1： | 1 |
| 17 | The role of EDTA in lead transport and accumulation by Indian Mustard显示文摘 | Vassil A D Kapulnik Y Raskin I | 1998 | Plant Physiol1998，117，： | 1 |
| 18 | The double-base number system and its application to elliptic curve cryptography显示文摘 | Vassil Dimitror Laurent Imbert Mishrak | 2008 | Mathematics of Computation2008，77，262： | 1 |
| 19 | The role of EDTA in lead transport and accumulation by Indian mustard 显示文摘 | Vassil A D Kapulnik Y Raskin I | 1998 | Plant Physiology1998，117，2： | 1 |
| 20 | The role of EDTA in lead transport and accumulation by Indian Mustard显示文摘 | Vassil A D KapulnikY Raskin I | 1998 | Plant Physiol1998，117，： | 1 |
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