A simplified bloodless procedure for extensive hepatectomy. Experimental study in the pig.
An original procedure of extensive bloodless hepatectomy is described in the pig. Complete vascular liver isolation with aorta clamping up to 25 min allows 60-75% bloodless hepatectomy without any portal triad dissection. Perfect hemostasis and shortening of liver ischemia is obtained with the use of a gelatin-resorcin-formaldehyde adhesive. Hemodynamic tolerance is good, and liver regeneration appears to be as fast as in minor species.
D000410:Alanine Transaminase / Q000097:blood; D000818:Animals; D001219:Aspartate Aminotransferases / Q000097:blood; D001639:Bicarbonates / Q000378:metabolism; D001794:Blood Pressure; D006498:Hepatectomy / Q000379:methods*; D006863:Hydrogen-Ion Concentration; D007511:Ischemia; D008099:Liver / Q000098:blood supply; D008115:Liver Regeneration; D013552:Swine; D013997:Time Factors
D001639:Bicarbonates; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase