Hepatic vein exclusion in resection of giant hepatic hemangioma near the second hepatic hilum
10.3760/cma.j.issn.1007-631X.2011.01.013
- VernacularTitle:肝静脉阻断技术在近第二肝门巨大肝血管瘤切除术中的应用
- Author:
Yuhua ZHANG
;
Zhiming HU
;
Chengwu ZHANG
;
Weiding WU
;
Jie LIU
;
Minjie SHANG
;
Dajian ZHAO
- Publication Type:Journal Article
- Keywords:
Hemangioma;
Hepatic veins
- From:
Chinese Journal of General Surgery
2011;26(1):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate hepatic vein exclusion (HVE) outside the liver in the resection of giant hepatic hemangioma near the second hepatic hilum. Methods From January 2003 to December 2009, giant hepatic hemangiomas near the second hepatic hilum were resected in 19 cases. Preoperatively 19 cases were divided into two groups: HVE group (9 cases) and IVE group ( 10 cases). Data regarding the intra-operative and postoperative courses of the patients were analyzed. Results There was no difference between the 2 groups regarding the age, sex and tumor size. No damage of hepatic vein was happened in HVE group. Resection of the hemangioma was applied in all cases of HVE group, and 1 case in IVE group had right hemi-hepatectomy. Hepatic veins rupture occurred in 4 cases in IVE group and 2 cases of them had massive bleeding, while in HVE group hepatic veins rupture occurred in 5 cases but no massive bleeding occurred. Intra-operative blood loss was significantly less in HVE group than IVE group. The serum ALT value in postoperative day 1 and total bilirubin in postoperative day 3 in HVE group was significantly lower than that of the IVE group. The mean drainage volume in HVE group was significantly less than that of the IVE group on postoperative day 1 and day 2. The total cost of patient in HVE group were significant less than in IVE group. Conclusions The use of hepatic vein exclusion reduces the risk in the resection of giant hepatic hemangioma near the second hepatic hilum.
