Retrospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 28, 2017; 23(20): 3702-3712
Published online May 28, 2017. doi: 10.3748/wjg.v23.i20.3702
Surgical management of liver diseases invading the hepatocaval confluence based on IH classification: The surgical guideline in our center
Wei Li, Jun Han, Zhao-Ping Wu, Hong Wu
Wei Li, Hong Wu, Department of Liver Surgery and Liver Transplantation Centre, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Zhao-Ping Wu, Department of hepatobiliary surgery, Jiujiang NO.1 People’s Hospital, Jiujiang 332000, Jiangxi Province, China
Jun Han, Department of Critical Care Medicine, Sichuan Provincial Hospital for Women and Children, Chengdu 610045, Sichuan Province, China
Author contributions: Wu H proposed the study; Li W, Wu ZP and Han J performed the research and wrote the first draft; Li W collected and analyzed the data; Wu H is the guarantor; all authors contributed to the design and interpretation of the study and to further drafts, and have read and approved the final version to be published.
Institutional review board statement: All procedures described in this study were approved by the Ethics Committee of West China Hospital, Sichuan University.
Informed consent statement: We conducted interventions with the consent of patients and their families. The informed consent of usage of medical records was acquired from the hospital.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Data sharing statement: No additional unpublished data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Hong Wu, MD, PhD, Department of Liver Surgery and Liver Transplantation Centre, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Telephone: +86-18980601958 Fax: +86-28-85422474
Received: September 28, 2016
Peer-review started: September 29, 2016
First decision: November 21, 2016
Revised: January 15, 2017
Accepted: April 12, 2017
Article in press: April 12, 2017
Published online: May 28, 2017
Core Tip

Core tip: The proposed IH classification, which divided the patients into 5 groups according to the range of vascular invasion, may be meaningful in selecting procedures for patients with hepatocaval confluence infiltration. inferior vena cava replacement, duration of liver ischemia and preoperative poor liver function were risk factors predictive of postoperative death for patients with lesions adjacent to the hepatocaval confluence.