Ipsilateral hepatic blood flow exclusion for hepatectomy
- VernacularTitle:选择性患侧肝血流阻断下的肝切除术
- Author:
Qian QIN
;
Hong LI
;
Libin WANG
;
Jie OUYANG
;
Zhuohong LIANG
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Hepatectomy;
Vascular occlusion
- From:
Chinese Journal of General Surgery
2008;23(11):839-842
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate ipsilateral hepatic blood flow exclusion in combination with liver hanging manoeuvre for hepatectomy. Methods From Jul 2007 to Feb 2008, 14 cases underwent hemihepatectomy under ipsilateral hepatic blood inflow and draining hepatic vein exclusion in combination with liver hanging manoeuvre for liver malignancier or ligating ligating vessels, portal vein branch and major hepatic vein to set up a tunnel at the interior vena cava. Results Small laceration on fight hepatic vein was encountered in 2 cases during the operation and managed by suturing. There was no intraoperative injury on inferior vena cava or short hepatic veins. Blood loss ranged from 100 ml to 600 ml with a mean of 280 ml. Postoperative pleural effusion was cured conservatively in 3 cases and paracentes was needed in one case. There was no severe postoperative hepatorenal dysfunction, biliary fistula, infection or other major complications. The operative mortality was nil. Conclusion For regular major hepatectomy, ipsilateral hepatic blood flow exclusion plus liver hanging manoeuvre has the advantage of less blood loss and protecting contralateral hemiliver from reporfusion injuries.
