Modified liver hanging maneuver in the application of hemihepatectomy
- VernacularTitle:改良式绕肝提拉法半肝切除的临床应用研究
- Author:
Ergang WEN
;
Ke DONG
;
Xiaojiong YU
;
Jian XU
;
Wei XIONG
- Publication Type:Journal Article
- Keywords:
Hepatectomy;
Liver hanging maneuver;
Pringle's maneuver
- From:
Chinese Journal of General Surgery
2008;23(7):530-533
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate a modified liver hanging maneuver(retrohepatic tunnel of the IVC) in patients undergoing hemihepatectomy.Methods Twenty-four patients undergoing hemihepatectomy were divided into two groups:modified liver hanging maneuver group(n=12)and Pringle's maneuver group(n=12).The amount of intraoperative bleeding,operation time,postoperative liver function,liver function recovery and complications were compared between the two groups.Reset All operation were performed successfully and there were no difference in the time of operation etween the two groups.There was a difierence in the amount of mean intraoperative blood loss between the two groups.It was(160±40)ml in liver hanging group and(560±120)ml in Pringle's group(P＜0.01).Liver function recovery measured on postoperative day 3 and day 7 was better in liver hanging groupthan that in Pringle's group(P＜0.01).The volume of postoperative peritoneal serous fluid dranage was significantly less in liver hanging group(P＜0.01).Conclusion The modified liver hanging maneuver is useful for hemihepatectomy.
