Title: Role and significance of right hepatic vein and hepatic pedicle exclusion in large liver tumor resection
Abstract: Objective To explore the role of right hepatic vein and hepatic pedicle exclusion in large liver tumor operation.Methods One hundred and thirty-eight patients with large hepatic carcinoma involving right hemiliver and segmentⅠ,Ⅳ,Ⅶ,Ⅷ underwent major hepatectomies,during which right hepatic vein and hepatic pedicle were isolated and taped to control blood flow between Febuary 2003 and August 2006.The blood loss volume,postoperative recovering situation of the liver function and the incidence of complication were observed.The time of hepatic vascular exclusion and the whole operate time were also recorded.Results Extrahepatic isolation and control of right hepatic vein were performed in 135 patients.Hepatic pedicle exclusions were performed successfully in all cases.The time of hepatic vascular exclusion was about (18±6) minutes,and the whole operate time was about (180±45) minutes.The amount of blood loss was from 400 to 1 200 mL.Intraoperational blood transfusion was not performed in 56 patients.There was no operative mortality and liver function failure.Conclusion Right hepatic vein and porta hepatis exclusion during hepatectomy is a safe method and effective to prevent massive bleeding and to reduce the incidence of liver function failure.
Publication Year: 2007
Publication Date: 2007-01-01
Language: en
Type: article
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