Major hepatic resection under total vascular exclusion |
| |
Authors: | Jia-fu Ji Jin Gu Xiang-Qian Su Chun-Yu Jiao Yi Wang Xiao-Hui Ou Yang Pei-De Dong Cheng-Wang Yang |
| |
Institution: | (1) Department of Surgical Oncology, Beijing Cancer Hospital, School of Oncology, Peking University, 100036 Beijing;(2) Department of Surgery, First Teaching Hospital, Inner Mongolia Medical University, 010059 Huhehote |
| |
Abstract: | Objective: To eveluate major liver resections with vascular exclusion (TVE) in patients with hepatocellular carcinoma (HCC).
Methods: Sixteen consecutive, major liver resections performed with TVE in HCC patients were analyzed retrospectively. The
patients’ mean ages were 54 years. Ten patients had cirrhosis and eleven patients had chronic hepatitis B. Results: There
was no perioperative death and the mean hospital stay was 20 days and the average amount of intraoperative blood transfusion
was 400 mL (range 0–2000 mL). Forty-four percent of the patients did not receive intraoperative blood transfusion. The mean
total bilirubin(T-BIL) and aspartate aminotransferase (AST) were 24 μ mol/L (range 8–56 μ mol/L) and 56 IU/L (range 10–204
IU/L) measured prior to discharge. Conclusion: In our experience, total vascular exclusion is invaluable in major or difficult
liver resections, especially when lesions adjacent to the hepatic veins and vena cava. It is associated with a low blood transfusion
requirement and a low incidence of complications. It further obviates the need for dissection of the porta hepatis thus reduces
the associated risks. Total vascular exclusion time of 30min appears to be well tolerated, even in patients with cirrhosis.
Biography: Ji Jia-fu (1959–), associate professor, doctor of medicine, School of Oncology, Peking University, majors in surgical oncology. |
| |
Keywords: | HCC hepatic resection vascular exclusion |
本文献已被 CNKI SpringerLink 等数据库收录! |
|