Precise liver resection by intraoperative interventional intravascular segmental vessel balloon catheter occlusion
10.3760/cma.j.issn.1007-8118.2012.08.008
- VernacularTitle:术中介入肝段血管球囊阻断法精准肝切除的临床应用
- Author:
Jiangchun QIAO
;
Yannan LIU
;
Jingying YU
;
Xiaotao DENG
;
Junmin WEI
;
Hongyuan CUI
;
Zhigang CHANG
;
Haikong LONG
;
Guodong YE
- Publication Type:Journal Article
- Keywords:
Hepatic segmentectomy;
Balloon catheter occlusion;
Intraoperative intervention
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(8):601-604
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of precise hepatic segmentectomy or subsegmentectomy using intraoperative image-guided interventional intravascular segmental vessel balloon catheter occlusion of the segmental hepatic artery and portal vein.Methods 6 patients with liver resection carried out from 2011.3-2011.8 were retrospectively analyzed.Results The mean operating time was (270.83±21.31) min,the median of blood loss was 800 ml,the median of intraoperative transfusion volume was 450 ml.The tumors were mainly located in segments Ⅴ,Ⅵ,Ⅶ,Ⅷ.The mean diameter of tumor was (5.67±1.03) cm.Postoperative liver function in the first postoperative day showed the mean alanine aminotranferase (ALT) was (570.00±157.76) U/L,the mean aspirate aminotrarsferase (AST) was (410.00 ±189.94) U/L,and the mean total bilirubin (TBIL) was (10.83± 1.60) mmol/L.Liver function recovered to normal within 7 days.There was intestinal leakage and wound dehiscence in one patient,pleural and effusion in two patients.Conclusion Imageguided interventional intravascular segmental vessel balloon catheter occlusion was a safe and efficacious maneuver.This technique allowed hepatic segmentectomy or subsegmentectomy to be carried out,decreased intraoperative bleeding,and protected the function of the liver remnant.
