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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 | Metformin in the treatment of obesity in subjects with normal glucose toler ance 显示文摘 | Tankova T Dakovska L Kirilov G | 2003 | Rom J Intern Med2003，41，3： | 1 |
| 3 | A surface photovoltage spectroscopy system used for minority carrier diffusion length measurements on floating zone silicon 显示文摘 | Kirilov K Donehev V | 2005 | Journal of Optoeleetronies and Advanced Materials2005，，7： | 1 |
| 4 | KIM-a semantic platform for information extraction and retrieval显示文摘 | Borislav Popov Atanas Kiryakov Damyan Ognyanoff Dimitar Manov Angel Kirilov | 2004 | Natural Language Engineering2004，10，37： | 1 |
| 5 | Metformin in the treatment of obesity in subjects with normal glucose tolerance显示文摘 | Tankova T Dakovska L Kirilov G | 2003 | Rom J Intern Med2003，41，3： | 1 |
| 6 | How do feedstocks affect visbreaker operations 显示文摘 | Strative D Kirilov K | 2008 | Hydrocarbon Processing2008，，： | 1 |
| 7 | The effect of vitamin D3 on insulin secretion and peripheral insulin sensitivity in type 2 diabetic patients 显示文摘 | Borissova AM Tankova T Kirilov G | 2003 | Int J Clin Pract2003，57，4： | 1 |
| 8 | Metformin in the treatment of obesity in subjects with normal glucose tolerance显示文摘 | Tankova T Dakovska L Kirilov G | 2003 | Rom J Intern Med2003，41，3： | 1 |
| 9 | Isothermal gravimetrical kinetic study of the decomposition of phosphogypsum under CO-CO2-Ar atmosphere显示文摘 | GRUNCHAROV I KIRILOV P PELOVSKI Y | 1985 | Thermochimica Acta1985，92，： | 1 |
| 10 | Low testosterone levels and unimpaired melatonin secretion in young males with metabolic syndrome显示文摘 | Robeva R Kirilov G Tomova A | 2006 | Andrologia2006，38，6： | 1 |
| 11 | A surface photovoltage spectroscopy system used for minority carrier diffusion length measurements on floating zone silicon显示文摘 | KIRILOV K DONCHEV V | | 0，，07： | 1 |
| 12 | Surface photovoltage phase spectroscopy-a handy tool for characterisation of bulk semiconductors and nanostructures显示文摘 | DONCHEV V KIRILOV K IVANOV T | 2006 | Mater Sci Eng B2006，129，13： | 1 |
| 13 | The effect of vitamin D3 on insulin secretion and peripheral insulin sensitivity in type 2 diabetic patients 显示文摘 | Borissova AM Tankova T Kirilov G | 2003 | Int J Clin Pract2003，57，4： | 1 |
| 14 | Increased plasma endothe- lin level as an endothelial marker of cardiovascular risk in patients with ac- tive acromegaly: a comparison with plasma homocysteine显示文摘 | Kirilov G Zacharieva S Alexandrov AS | 2009 | Methods Find Exp Clin Phaimacol2009，31，7： | 1 |
| 15 | Forage sourses for ruminants in Bulgaria显示文摘 | Kirilov A Mihovski Tsv | 2014 | Turkish Journal of Agricultural and Natural Sciences2014，2，： | 1 |
| 16 | Isothermal gravimetrical kinetic study of the decomposition of phosphogypsum under COCO2-At atmosphere 显示文摘 | GRUNCHAROV I V KIRILOV P I PELOVSKI Y | 1985 | Thermochimica Acta1985，92，15： | 1 |
| 17 | The effect of vitamin D3 on insulin secretion and peripheral insulin sensitivity in type 2 diabete patients显示文摘 | Borissova AM Tankova T Kirilov G | 2003 | Int J Clin Pract2003，57，4： | 1 |
| 18 | Effect of Ag and Pd modifications of TiO2on the photocatalytic degradation of p-chlorophenol in aqueous solution显示文摘 | Kirilov M Koumanova B Spasov L | 2009 | Journal of the University of Chemical Technology and Metallurgy2009，41，： | 1 |
| 19 | Surface photovoltage phase spectroscopy handy tool for eharacterisation of bulksemiconductors and nanost ructures显示文摘 | DONCHEV V KIRILOV K IVANOV T S | 2006 | Mater Sei Eng B2006，129，13： | 1 |
| 20 | Semantic Annota tion, Indexing, and Retrieval显示文摘 | Kiryakov A Popov B Kirilov A | 2004 | Journal of Web Semantics2004，2，1： | 1 |
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