Extraparenchymal control of hepatic veins during mesohepatectomy.

Extraparenchymal control of hepatic veins during mesohepatectomy. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Extraparenchymal control of hepatic veins during mesohepatectomy. Abstract Text:

Felice Giuliante,Gennaro Nuzzo,Francesco Ardito,Maria Vellone,Germano De Cosmo,Ivo Giovannini,

BACKGROUND: Bleeding is the most relevant operative risk during mesohepatectomy because of the wideness of the resection surfaces and the exposure of main intrahepatic vascular structures. Preliminary extraparenchymal exposure of the main hepatic veins, with the possibility of clamping them in association with the Pringle maneuver, and the maintenance of a low central venous pressure during mesohepatectomy, can contribute to substantially reducing operative bleeding. STUDY DESIGN: We report the results obtained in 18 mesohepatectomies, performed for liver metastases (13 patients) and for hepatocellular carcinoma (5 patients). Liver resection was performed without preliminary exposure of the main hepatic veins in nine patients (group A) and with preliminary looping of the main hepatic veins in nine patients (group B), without complications related to the maneuver. RESULTS: Intermittent pedicle clamping was used in all patients; in six patients in group B (66.7%), clamping of the main hepatic veins was also performed (mean duration, 37 minutes; range 16 to 68 minutes). Intraoperative blood transfusions were needed in 5 patients (5 of 18, 27.8%): 4 belonged to group A (44.4%) and 1 to group B (11.1%). Mortality was nil and morbidity was 33.3%, involving four patients in group A and two in group B (none related to the exposure, looping, and clamping of the main hepatic veins). CONCLUSIONS: Preliminary control of the main hepatic veins is a safe maneuver. During mesohepatectomy, clamping of these veins, associated with pedicle clamping, is effective in reducing operative bleeding. In our patients, this resulted in a low blood transfusion rate, similar to that of classic major hepatectomies, despite the higher complexity of mesohepatectomy.

Extraparenchymal control of hepatic veins during mesohepatectomy. Publishing Authors By Initials

F Giuliante,G Nuzzo,F Ardito,M Vellone,G De Cosmo,I Giovannini,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Extraparenchymal control of hepatic veins during mesohepatectomy. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of the American College of Surgeons

VOLUME: 206

Page Numbers: 496-502

Journal Abbreviation: J. Am. Coll. Surg.

ISSN: 1072-7515

DAY: 26

MONTH: 11

YEAR: 2007

Extraparenchymal control of hepatic veins during mesohepatectomy. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9431305

Extraparenchymal control of hepatic veins during mesohepatectomy. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Extraparenchymal control of hepatic veins during mesohepatectomy. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Extraparenchymal control of hepatic veins during mesohepatectomy.

AFFILIATION: Department of Surgery, Hepatobiliary Surgery Unit, Catholic University of the Sacred Heart, School of Medicine, Rome, Italy.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: J Am Coll Surg

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Extraparenchymal control of hepatic veins during mesohepatectomy Related Publications

• Effects of diet on the lipid and fatty acid status of full-term infants at 4 months.
• Endoscopic ultrasound-guided endoscopic transmural drainage of pancreatic pseudocysts.
• Extracellular levels of brain aspartate, glutamate and GABA during an inhibitory avoidance response in the rat.
• Extraction of light from sources located inside waveguide grating structures.
• Extraparenchymal control of hepatic veins during mesohepatectomy.
• Growth of infants with IgE-mediated cow's milk allergy fed different formulas in the complementary feeding period.
• Immunomodulatory activity of shikimic acid and quercitin in comparison with oseltamivir (Tamiflu) in an "in vitro" model.
• Increasing the angular tolerance of resonant grating filters with doubly periodic structures.
• Intravitreal micronized triamcinolone versus triamcinolone acetonide: a clinical and morphological comparative study.
• Monitoring breastfeeding rates in Italy.
• Muscle Temperature Responses to 434-and 2450-MHz Microwave Hyperthermia: 2084: Board #154 May 31 2:00 PM - 3:30 PM.
• Natural History of Meningioma Development in Mice Reveals: A Synergy of Nf2 and p16(Ink4a) Mutations.
• Self-expandable Metallic Stents for Palliative Treatment of Digestive Cancer.
• Small-bowel obstruction due to a migrated cystogastric endoprosthesis: report of a case.
• Sucralfate modulates uPAR and EGFR expression in an experimental rat model of cervicitis.
• Transverse rectus abdominis myocutaneous flap wound-healing complications in breast reconstruction: assisted closure using foam suction dressing.
• [Action of the chlorhydrate of the ethyl ester of N-methylphenylpiperidine-carboxylic acid (sauteralgyl) on uterine contraction.]
• [Frontiers in interventional endoscopy.]
• [Not Available.]
• [Not Available.]
• [Serum and tissue transaminases in experimental benzol poisoning.]