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J Surg Oncol. 2014 Feb;109(2):81-8. doi: 10.1002/jso.23455. Epub 2013 Oct 4.

Minimizing blood loss during hepatectomy: a literature review.

Author information

1
Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Abstract

There are numerous techniques surgeons employ to reduce blood loss during partial hepatectomy. In this literature review, prospective studies from the last 20 years are examined to determine the techniques that are best supported by the literature. Some of the techniques include vascular control, multiple parenchymal transection techniques, various hemostatic agents, low central venous pressure, and hemodilution. The strategies supported most convincingly by the literature include low CVP and total hepatic inflow occlusion.

KEYWORDS:

bleeding; blood; blood loss; hemorrhage; hepatectomy; hepatic; liver; liver resection; parenchymal transection; transfusion; vascular control

PMID:
24449171
DOI:
10.1002/jso.23455
[Indexed for MEDLINE]

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