Methods of hepatic vascular exclusion on recovery of postoperative liver function in patients undergoing hepatectomy

VernacularTitle:肝脏手术不同阻断方法对患者术后肝功能恢复情况的影响
Author: Ming YANG ; Yuncheng LI ; Deguang SUN ; Rui LIANG ; Qinlong LIU ; Asef TAGIYEU ; Liming WANG
Publication Type:Journal Article
Keywords: Hepatectomy; Hepatic vascular exclusion
From: Chinese Journal of General Practitioners 2013;(3):222-224
CountryChina
Language:Chinese
Abstract: One hundred and ten patients with primary hepatocellular carcinoma underwent hepatectomy from 2005 to 2010.Different methods of hepatic exclusion were applied in the surgery,including 54 patients with total hepatic vascular exclusion,22 with half hepatic vascular exclusion and 34 with regional hepatic vascular exclusion.The recovery of postoperative liver function was retrospectively analyzed.The results showed that the postoperative liver function of regional hepatic vascular exclusion [ALT(311 ± 80) U/L,total bilirubin (TB) (22.2 ± 8.3) μmoL/L at 1 st day and ALT (58 ± 17) U/L,TB (11.3 ± 3.1)μmol/L at 7th day] was better than that of total hepatic vascular exclusion [ALT(874 ±299)U/L,TB (42.9± 19.1) μmol/L at 1st day (P＜0.05) and ALT (108-±52)U/L,TB (14.6±9.2) μmol/L at 7th day] (P ＜ 0.05,＞ 0.05),indicating that regional hepatic vascular exclusion can effectively reduce hepatic injury during the operation and promote recovery of liver function after operation.