Selective hemihepatic vascular occlusion in hepatectomy for large hepatocellular carcinomas
- VernacularTitle:选择性半肝血流阻断在大肝癌切除术中的应用
- Author:
Tao HUANG
;
Jinxue ZHOU
;
Nanmu YANG
- Publication Type:Journal Article
- Keywords:
Liver Neoplasms/surg;
Hemihepatic Vascular Occlusion;
Hepatectomy/methods
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical values of selective hemihepatic vascular occlusion in hepatectomy for large hepatocellular carcinomas.Methods Forty patients with large hepatocellular carcinomas who underwent hepatectomy with selective hepatic inflow and outflow occlusion of tumor-bearing liver were retrospectively analyzed.Results All the 40 patients underwent hepatectomy successfully.The blood losts during the operation was 100-800 mL(average 360 mL).The operation time was 90-150 min(average 116 min).Intraoperative blood transfusion was not performed in twenty-five patients.All patients recovered completely and were discharged without liver function failure or other severe complications.There was no perioperative death.Conclusions Selective hemihepatic vascular occlusion in hepatectomy for large hepatocellular carcinomas is a safe and effective method with advantages of controlling hemorrhage,decreasing liver damage and gut barrier injury,avoiding air embolism and preventing metastasis.
