Hepatic resection with vascular isolation and routine supraceliac aortic clamping

American Journal of Surgery
M S StephenD W Storey

Abstract

Hepatic resection with total vascular isolation has been reported to reduce hemorrhage. Addition of supraceliac aortic clamping putatively avoids hemodynamic instability, but may increase morbidity. This technique was used in 99 major liver resections utilizing scalpel division and suture hemostasis. Livers were normal in 86 patients, cirrhotic with no portal hypertension in 5, and cirrhotic with portal hypertension in 8. There was 1 death in 91 patients with no portal hypertension due to hepatic failure or bleeding esophageal varices. There were 59 hemihepatectomies and 40 segmentectomies. Median operating time was 145 and 110 minutes, respectively, and mean transfused blood was 4 and 0 units, respectively, with minimal morbidity. Use of total hepatic vascular isolation with routine supraceliac aortic clamping is a safe and expedient method of hepatic resection that limits blood loss and maintains hemodynamic stability, but does not increase morbidity. However, the presence of portal hypertension precludes safe resection.

References

Nov 1, 1990·Archives of Surgery·M S StephenS L Boland
May 1, 1989·American Journal of Surgery·J A Ryan, D J Faulkner
Aug 30, 1986·British Medical Journal·N BlumbergC Chuang
Oct 1, 1988·Annals of Surgery·S Iwatsuki, T E Starzl

❮ Previous
Next ❯

Citations

Jan 23, 1999·Journal of the American College of Surgeons·S OhwadaY Morishita
Aug 26, 1998·The British Journal of Surgery·R M JonesK J Hardy
Oct 14, 2005·World Journal of Surgery·Vassilios SmyrniotisNikolaos Arkadopoulos
Jun 20, 2007·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·P B S LaiA K C Li
Nov 21, 2007·The Journal of Surgical Research·Hamza KayaIbrahim Astarcioglu
Mar 1, 2005·The Journal of Surgical Research·Serdar TopalogluSuleyman Hengirmen
Jun 24, 2005·American Journal of Surgery·Koroush S HaghighiDavid L Morris
Jan 3, 2006·Transplantation Proceedings·G DarilmazS Hengirmen
Apr 6, 2004·The Surgical Clinics of North America·Eddie K AbdallaJacques Belghiti
Nov 6, 2009·The Journal of Veterinary Medical Science·Mamiko SekiShigeo Tanaka
Sep 9, 1999·Journal of Surgical Oncology·G N ZografosN Habib
Oct 17, 2003·World Journal of Gastroenterology : WJG·Zhen-Yu YinJie-Shou Li

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.