Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Retrohepatic Inferior Vena Cava Injury by Gunshot - A case report -

총상에 의한 간 후부 하대정맥 손상 - 1예 보고 -

  • Yoo, Dong-Gon (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Park, Chong-Bin (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Choi, Kun-Moo (Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jung, Hwa-Sung (Department of Anesthesiology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Chong-Wook (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 유동곤 (울산대학교 의과대학 강릉아산병원 흉부과학교실) ;
  • 박종빈 (울산대학교 의과대학 강릉아산병원 흉부과학교실) ;
  • 최건무 (울산대학교 의과대학 강릉아산병원 외과학교실) ;
  • 정화성 (울산대학교 의과대학 강릉아산병원 마취과학교실) ;
  • 김종욱 (울산대학교 의과대학 강릉아산병원 흉부과학교실)
  • Published : 2008.02.05
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Abstract

Injury to the inferior vena cava (IVC) is associated with a high mortality rate, and little progress has been made for improving the treatment for this since the 1970s. Injury to the retrohepatic IVC, in particular, has been associated with up to a 75% mortality rate due to the difficulty in gaining adequate exposure and controlling the bleeding. Both the severity of injury and anatomic accessibility has been directly correlated with survival in IVC injury. We have experienced a patient with retrohepatic IVC that was ruptured by a penetrating gunshot injury and we managed to save this patient's life.

외상에 의한 하대정맥의 손상은 사망률이 매우 높으며, 1970년대 이후로 사망률의 개선이 거의 없는 실정이다. 특히 간 후부 하대정맥의 손상은 사망률이 대개 75% 이상이며, 이는 시야확보와 지혈 등의 수술적 어려움에 기인한다. 하대정맥 손상 환자의 생존은 손상의 심한 정도와 해부학적 접근가능성 등과 연관이 있다. 총상에 의한 간 후부 하대정맥 손상환자의 수술을 경험하였기에 문헌 고찰과 함께 보고한다.

Keywords

References

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