[An inquiry into blood loss in laparoscopic liver resections]

[An inquiry into blood loss in laparoscopic liver resections] Research Abstract Details 

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[An inquiry into blood loss in laparoscopic liver resections] Abstract Text:

Rong Liu,Yue-hua Wang,Zhi-qiang Huang,Ning-xin Zhou,

OBJECTIVE: To investigate the potential causes and preventive measures for blood loss in laparoscopic liver resection. METHODS: The candidates for laparoscopic liver resections were 21 patients with liver lesions, including 13 patients with primary liver cancer, 2 patients with liver abscess, 3 patients with liver hemangioma, 1 patient with hepatic cellular adenoma, 1 patient with hepatic focal nodular hyperplasia, and 1 patient with infected liver cyst. They were classified as Child A in 16 and B in 5 patients. RESULTS: Twenty-one patients with liver lesions underwent 23 laparoscopic resections uneventfully. Operating procedures included partial liver resection in 12 patients, segment IV in 1 case and anatomical left liver resections in 8 patients. Operation duration was 80 - 320 (mean 193.8 +/- 78.3) minutes. The blood loss in operation was 100 - 1000 (mean 333.1 +/- 291.4) ml. The postoperative hospital stay averaged 6.3 +/- 1.5 days, which was markedly shortened in comparison to conventional laparotomy liver resections. In addition, there was no complication in this series. CONCLUSIONS: Based on these preliminary results, occlusion of hepatic vessels with clamp is very important for partial liver resection. The key technique is to control the blood loss in operation. We conclude that laparoscopic liver resection is a prospective minimally invasive technique. These experiences suggest that laparoscopic procedures could be employed both in the treatment of benign and malignant tumors in selected cases.

[An inquiry into blood loss in laparoscopic liver resections] Publishing Authors By Initials

R Liu,YH Wang,ZQ Huang,NX Zhou,

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[An inquiry into blood loss in laparoscopic liver resections] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zhonghua wai ke za zhi [Chinese journal of surgery

VOLUME: 41

Page Numbers: 591-3

Journal Abbreviation: Zhonghua Wai Ke Za Zhi

ISSN: 0529-5815

DAY: 24

MONTH: Aug

YEAR: 2003

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LANGUAGE: chi

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AFFILIATION: Department of Hepatobiliary Surgery, PLA General Hospital, Beijing 100853, China.

Country: China

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MEDLINETA: Zhonghua Wai Ke Za Zhi

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