Treatment of penetrating injuries to the retrohepatic inferior vena cava: a systematic review.

IF 1.1 Q4 PERIPHERAL VASCULAR DISEASE

Jornal Vascular Brasileiro Pub Date : 2026-02-06 eCollection Date: 2025-01-01 DOI:10.1590/1677-5449.202401492

Adenauer Marinho de Oliveira Góes, Simone de Campos Vieira Abib, Gustavo Henrique Dumont Kleinsorge, Daniella Adrea Araujo Rossi Vieira, Luis Carlos Uta Nakano, Mariseth Carvalho de Andrade

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引用次数: 0

Abstract

Background: Injuries to the retrohepatic vena cava are associated with high mortality rates and vascular control must be obtained prior to exposure. Various treatment techniques have been described, including triple hepatic vascular exclusion, atriocaval shunt, and endovascular and hybrid strategies.

Objectives: To determine which of these is associated with the lowest mortality rate.

Methods: A systematic literature review was conducted, guided by the Cochrane Handbook and PRISMA guidelines. The PUBMED, LILACS, Embase, Web of science, and Scopus databases were searched and Ryyan software was employed to manage the studies identified.

Results: Sixteen studies were selected, reporting 96 cases, in 49 of which the patients were treated with triple hepatic exclusion, in 38 with an atriocaval shunt, and in 9 with endovascular or hybrid techniques, with the third of these groups being statistically less frequent (p < 0.0001). The mortality rate was 53.8%, with no statistically significant differences between any of the techniques studied (p = 0.9085).

Conclusions: Injuries to the retrohepatic vena cava had similar mortality rates regardless of the technique employed for treatment.

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肝后下腔静脉穿透伤的治疗：系统回顾。

背景：肝后腔静脉损伤与高死亡率相关，暴露前必须对血管进行控制。各种治疗技术已被描述，包括三重肝血管排除，房腔分流，血管内和混合策略。目的：确定哪种方法与最低死亡率相关。方法：以Cochrane手册和PRISMA指南为指导，进行系统的文献综述。检索PUBMED、LILACS、Embase、Web of science和Scopus数据库，使用Ryyan软件对确定的研究进行管理。结果：入选16项研究，共报告96例，其中49例采用三联肝排除，38例采用房腔分流术，9例采用血管内或混合技术，其中第三组的发生率较低（p < 0.0001）。死亡率为53.8%，两种方法间差异无统计学意义（p = 0.9085）。结论：无论采用何种治疗方法，肝后腔静脉损伤的死亡率相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.