Outcome using selective hemihepatic vascular occlusion and Pringle maneuver for hepatic resection of liver cavernous hemangioma

World Journal of Surgical Oncology
Minghao LiZhiqi Yang

Abstract

Though accumulated evidence proved the advantages of laparoscopic hepatectomy, bleeding still remains the most important challenge in clinical practice. Our study aimed to compare the outcomes of Pringle maneuver (PM) and selective hemihepatic vascular occlusion (SHVO) surgeries for patients with liver cavernous hemangioma (LCH). The SHVO (n = 26; mean age, 42) and PM (n = 78; mean age, 43) surgeries were performed in 104 LCH patients from January 2006 to January 2015. The intraoperative (bleeding, arterial pressure, oxyhemoglobin saturation, etc.) and postoperative parameters (anal exhaust time, complications, blood cell numbers, etc.) were measured and compared between the two groups. Liver function of all these patients was detected by blood test at 1-day preoperation, and at 1, 3, and 5 days postoperation. Both of the two surgeries were successfully performed without any mortality. The intraoperative systolic arterial pressure and pulse in PM group were much higher than that in SHVO group (P < 0.01). The postoperative liver function parameters such as alanine transaminase (ALT), aspartate transaminase (AST), and total bilirubin (TBIL) increased much more in the PM group than that in the SHVO group compared with preoperation...Continue Reading

References

Nov 15, 1997·World Journal of Surgery·A WeimannR Pichlmayr
Sep 13, 2003·World Journal of Gastroenterology : WJG·Yan CuiHong-Wen Zhang
Nov 2, 2006·The Tohoku Journal of Experimental Medicine·Aysegul Ozakyol, Mahmut Kebapci
Apr 20, 2007·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Tianfu WenGuangqi Zheng
Jul 28, 2007·Digestive Surgery·Marieke T de BoerRobert J Porte
Oct 1, 1908·Annals of Surgery·J H Pringle
Sep 25, 2008·Seminars in Liver Disease·Paulette Bioulac-SageCharles Balabaud
Feb 1, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Xiu-Da ShenJerzy W Kupiec-Weglinski
Mar 14, 2012·Ophthalmic Plastic and Reconstructive Surgery·Dan RootmanJeffrey Hurwitz
Jun 14, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Kilian WeigandMartina Müller
May 30, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jun-sheng NiWei-ping Zhou

❮ Previous
Next ❯

Citations

Nov 2, 2016·The Cochrane Database of Systematic Reviews·Elisabetta MoggiaKurinchi Selvan Gurusamy
Nov 5, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Li-Hua JiaJin-Hui Zhu
Nov 3, 2017·World Journal of Gastroenterology : WJG·Jun GaoWen-Bing Sun
Apr 10, 2021·BMC Surgery·Qing-Song XieFu-Bao Liu

❮ Previous
Next ❯

Methods Mentioned

BETA
surgical resection
dissection

Related Concepts

Related Feeds

Cavernous Hemangioma

Cavernous hemangioma is a blood vessel defect or benign tumor that leads to leakage of blood to the surrounding tissues. This can occur in several organs including the brain, which can lead to seizures. Discover the latest research on cavernous hemangiomas here.