Arch Surg. 1991 Mar;126(3):298-301.

Simplified hepatic resection with the use of prolonged vascular inflow occlusion.

Source

Department of Surgery, University of Cape Town, South Africa.

Abstract

Ten consecutive patients scheduled to undergo liver resection were studied prospectively with the use of a standard protocol, which included routine vascular inflow occlusion to reduce blood loss and blood transfusion requirements. Fibrin sealant was sprayed on the raw liver surface, and abdominal drainage was not performed. No deaths occurred, and the postoperative course was remarkably smooth. The normothermic liver ischemic times of 30 to 122 minutes (mean, 73 minutes) were well tolerated. The amount of blood transfused was reduced to a mean of 2 U (range, 0 to 4 U). The occurrence of infected intraabdominal bile collections in two patients with preexisting biliary tract infection suggested that abdominal drainage should be performed in such patients. Vascular inflow occlusion is recommended for all liver resections.

PMID:: 1998469; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms, Substances

Publication Types

Research Support, Non-U.S. Gov't

MeSH Terms

Substances

Fibrin Tissue Adhesive

LinkOut - more resources

Full Text Sources

Supplemental Content

Icon for Silverchair Information Systems

Save items

Related citations in PubMed

Occlusion of hepatic blood inflow for complex central liver resections in cirrhotic patients: a randomized comparison of hemihepatic and total hepatic occlusion techniques. [Arch Surg. 2002]
Occlusion of hepatic blood inflow for complex central liver resections in cirrhotic patients: a randomized comparison of hemihepatic and total hepatic occlusion techniques.
Wu CC, Yeh DC, Ho WM, Yu CL, Cheng SB, Liu TJ, P'eng FK. Arch Surg. 2002 Dec; 137(12):1369-76.
Review WITHDRAWN: Methods of vascular occlusion for elective liver resections. [Cochrane Database Syst Rev. 2009]
Review WITHDRAWN: Methods of vascular occlusion for elective liver resections.
Gurusamy KS, Sheth H, Kumar Y, Sharma D, Davidson BR. Cochrane Database Syst Rev. 2009 Jan 21; (1):CD006409. Epub 2009 Jan 21.
Review Methods of vascular occlusion for elective liver resections. [Cochrane Database Syst Rev. 2007]
Review Methods of vascular occlusion for elective liver resections.
Gurusamy KS, Kumar Y, Sharma D, Davidson BR. Cochrane Database Syst Rev. 2007 Oct 17; (4):CD006409. Epub 2007 Oct 17.
Comparison of a new fibrin sealant with standard topical hemostatic agents. [Arch Surg. 2004]
Comparison of a new fibrin sealant with standard topical hemostatic agents.
Schwartz M, Madariaga J, Hirose R, Shaver TR, Sher L, Chari R, Colonna JO 2nd, Heaton N, Mirza D, Adams R, et al. Arch Surg. 2004 Nov; 139(11):1148-54.
Review Vascular occlusion to decrease blood loss during hepatic resection. [Am J Surg. 2005]
Review Vascular occlusion to decrease blood loss during hepatic resection.
Dixon E, Vollmer CM Jr, Bathe OF, Sutherland F. Am J Surg. 2005 Jul; 190(1):75-86.

See reviews... See all...

Cited by 2 PubMed Central articles

In situ hypothermic perfusion of the liver versus standard total vascular exclusion for complex liver resection. [Ann Surg. 2005]
In situ hypothermic perfusion of the liver versus standard total vascular exclusion for complex liver resection.
Azoulay D, Eshkenazy R, Andreani P, Castaing D, Adam R, Ichai P, Naili S, Vinet E, Saliba F, Lemoine A, et al. Ann Surg. 2005 Feb; 241(2):277-85.
Comparison of ischemic preconditioning and intermittent and continuous inflow occlusion in the murine liver. [Ann Surg. 2002]
Comparison of ischemic preconditioning and intermittent and continuous inflow occlusion in the murine liver.
Rüdiger HA, Kang KJ, Sindram D, Riehle HM, Clavien PA. Ann Surg. 2002 Mar; 235(3):400-7.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Substance (MeSH Keyword)
PubChem chemical substance (submitted) records that are classified under the same Medical Subject Headings (MeSH) controlled vocabulary as the current articles.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Simplified hepatic resection with the use of prolonged vascular inflow occlusion...
Simplified hepatic resection with the use of prolonged vascular inflow occlusion.
Arch Surg. 1991 Mar ;126(3):298-301.

PubMed
Thermolabile methylenetetrahydrofolate reductase: an inherited risk factor for c...
Thermolabile methylenetetrahydrofolate reductase: an inherited risk factor for coronary artery disease.
Am J Hum Genet. 1991 Mar ;48(3):536-45.

PubMed
A Rare Disease in Two Brothers.
A Rare Disease in Two Brothers.
Proc R Soc Med. 1917 ;10(Sect Study Dis Child):104-16.

PubMed
Luque interpeduncular segmental fixation of the lumbosacral spine.
Luque interpeduncular segmental fixation of the lumbosacral spine.
Orthop Rev. 1991 Jan ;20(1):57-63.

PubMed
The objective structured clinical examination in undergraduate psychiatry.
The objective structured clinical examination in undergraduate psychiatry.
Med Educ. 1991 Jan ;25(1):45-50.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: