Hepatic seginentectomy by regional vascular occlusion at hepatic hilum

VernacularTitle:Ⅰ、Ⅱ级肝门区域阻断肝叶(段)切除的初步体会
Author: Jinshu WU ; Chuang PENG ; Xinmin YIN ; Xianhai MAO
Publication Type:Journal Article
Keywords: regional vascular occlusion; hepatic hilum; hepatic lobectomy
From: International Journal of Surgery 2009;36(6):387-390,封3
CountryChina
Language:Chinese
Abstract: Objective To study the experience on a variety of hepatectomy by occluding the branches of hepatic artery and portal vein to the liver lobe,segment at hilar H fissure.Methods A total of three hun-dred and ninteen patients accepted hepatectomy in Hunan provincial people's hospital from Decemember 2006 to Decemember 2007 were involved in this study for retrospective analysis.Results There were no perioperative deaths and liver function failure in this series of patients.The average amount of blood loss was 70 15ml,and 302 (95 %)cases did not receive transfusion.Postoperative complications such as liver necro-sis,bile leaking,bleeding were not found.Subphrenic abscesses were found in 3 cases,which were cured conservatively.Conclusion Selective regional occlusion of hepatic blood flow during bepatectomy avoided the risk of ischemia-reflow injury of remnant liver,which is safe and effective to prevent massive bleeding and to reduce the incidence of liver failure.