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Aortic Occlusion and Vascular Isolation Allowing Avascular Hepatic Resection

Authors :
Timothy Wilson
John F. Thompson
A. G. Ross Sheil
Stuart L. Boland
Michael S. Stephen
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)

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