Selective hepatic vascular exclusion for hepatectomy

VernacularTitle:选择性肝血流阻断技术在肝肿瘤切除术中的应用
Author: Siyuan FU ; Yuan YANG ; Gang HUANG ; Weiping ZHOU ; Aijun LI
Publication Type:Journal Article
Keywords: liver neoplasm; hepatectomy; inferior vena eava; hepatic vein; vascular exclusion
From: International Journal of Surgery 2009;36(2):139-142
CountryChina
Language:Chinese
Abstract: Objective To explore the safety and efficacy of hepatic resection with selective hepatic vascular exclusion(SHVE). Methods SHVE was used in 246 consecutive patients undergoing major or complex liver resection in our center. Preoperative demographic and clinical data,details of the surgical procedure, pathologic diagnosis, postoperative course and complications were collected and analy zed. Results From January 2000 to July 2007, liver resections were performed IJnder SHVE in 246 patients; total SHVE, right partial SHVE and left partial SHVE in 145, 54 and 47 patients, respectively. SHVE was converted to total hepatic vascular exclusion(THVE)in 3 patients to repair the wall of inferior vena cava(IVC). Hemodynamic tolerance to SHVE was excellent, only with a slight increase in systemic and pulmonary vascular resistance during clamping.There were no deaths. and the morbidity was 24.8%.The mean leyth of hospital stay was 9.6 days(range 8-18) .Conclusion Our study showed that SHVE is a safe and effective procedurei and it is applicable to liver tumors near but not invade the inferior vena cava.