Title: Selective hepatic artery blocking for hepatectomy of hepatocellular carcinoma
Abstract: Objective To evaluate selectave blocking of hepatic artery tor hepatectomy in onder to reduce blood loss. Methods Patients with liver cancer in right hepatic lobe were randomly divided into study group (n =25 ) and control group (n =31).Conventional posterior approach for liver tumor resection was applied.In study group,right hepatic artery was first freed and inflow was temporarily blocked before the right liver lobe was freed from its peripheral attachment.Then hepatectomy was performed under Pringle's manouver. Result in term of blood loss was compared with that in control group in which hepatectomy was performed under Pringle's. Results There were no significant differences between two groups in age,sex,tumor size,liver cirrhosis,HBsAg,AFP and tumor emboli in portal vein.Blood loss in study group was significantty less (272 ± 113 ) ml than that in control group (547 ± 221) ml,the difference was statistically significant(t =-5.6,P < 0.01).The length of hospital stay was significantly shorter than that in control group ( t =- 2.12,P < 0.05 ). Conclusions Initial hepatic artery blochade before liver freeing during the process of hepatectomy significantly reduced intraoperative in blood loss liver cancer patients.
Key words:
Carcinoma,hepatocellular; Hepatectomy; Hepatic artery
Publication Year: 2012
Publication Date: 2012-05-25
Language: en
Type: article
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