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Aortic Occlusion and Vascular Isolation Allowing Avascular Hepatic Resection
- Source :
- Archives of Surgery. 125:1482
- Publication Year :
- 1990
- Publisher :
- American Medical Association (AMA), 1990.
-
Abstract
- • Occlusion of the supraceliac abdominal aorta and hepatic vascular isolation were employed in a series of 15 patients as a definitive method to allow avascular hepatic resection. The series was compared with an earlier group of patients treated conventionally. In the avascular hepatic resection group there was no mortality; hypotension did not occur at the time of hepatic vascular isolation; rapid, accurate excision of the hepatic lesions could be achieved in a bloodless field; resection of midline lesions and those involving the great veins was possible; and "segmentectomies," or resections crossing segmental boundaries, could be performed where previously formal hepatic lobectomies were required. Concomitantly, the greatest amount of uninvolved hepatic parenchyma remained in situ. There was increased ease of operative management, reduced blood loss, and reduced operating time (mean, 2.8 hours). ( Arch Surg . 1990;125:1482-1485)
- Subjects :
- Adult
Male
medicine.medical_specialty
Hepatic resection
Blood Loss, Surgical
Vena Cava, Inferior
Resection
Postoperative Complications
Blood loss
medicine.artery
Occlusion
medicine
Operating time
Hepatectomy
Humans
Aorta, Abdominal
Aged
business.industry
Abdominal aorta
Aortic occlusion
Middle Aged
Constriction
Hemostasis, Surgical
Surgery
Liver
Hepatic parenchyma
Female
business
Subjects
Details
- ISSN :
- 00040010
- Volume :
- 125
- Database :
- OpenAIRE
- Journal :
- Archives of Surgery
- Accession number :
- edsair.doi.dedup.....a38e32fe7be5658819869d903cba53f4
- Full Text :
- https://doi.org/10.1001/archsurg.1990.01410230076013