Selection of the method of hepatic vascular control during resection of liver carcinoma
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R735.7

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    Abstract:

    Objective;To investigate the proper selection of methods of hepatic vascular control during resectionof liver carcinoma. Methods;Ninetyfoury cases of liver carcinoma underwent hepatectomy using 4 different types of hapatic vascular control in our hospital. The operative time, amount of intraoperative blood loss, transfusion, and postoperative drainage, changes of postoperative liver function and complications were analyzed and compared between the 4 groups. Results;Of the 94 cases, 38 (40.4%) underwent routine Pringle′s maneuver, 34 (36.2%) had selective hemihepatic vascular exclusion, 18(19,1%) without hepaticinflow occlasion and 4 (4.3%) had total vascular exclusion during hepatectomies. All tumors were entirely removed and operations were performed smoothly. Postoperative complications occurred 24 casetimes and 2 patients (2.1%) died. Conclusions;The selection of method of hepatic vascular control during hepatectomyfor massive liver carcinoma should be comprehensively determined, based on the size and location of tumor, preoperative liver function, diffculty of hepatectomy and findings at intraoperative exploration. Proper method manner of hepatic vascular control is crucial for successful operation and uneventful recovery of the patient.

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SUN Bei, JIANG Hongchi, XU Jun, WANG Gang, ZHOU Zunqiang, LIU Chang, LI Jun, MENG Qinghui, ZHAO Jinpeng.Selection of the method of hepatic vascular control during resection of liver carcinoma[J]. Chin J Gen Surg,2005,14(11):15-856.
DOI:10.7659/j. issn.1005-6947.2005.11.014

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History
  • Received:January 01,1900
  • Revised:January 01,1900
  • Adopted:
  • Online: November 25,2005
  • Published: