[Liver resection under occlusion of hepato-duodenal ligaments. Renunciation of a textbook opinion].
The belief that the hepatoduodenal ligament should only be clamped for 5-10 min, then the clamp released for a shorter or longer period, can no longer be upheld. The author's clinical investigations have shown that continous clamping up to 20 min can be tolerated by the liver without adverse effect. The authors consider a clamping time of 30-40 min tolerable particularly if the liver is cooled by pouring cold Ringer's solution over it. In one case, splenic capsule rupture was a complication of clamping the hepatoduodenal ligament.
D004386:Duodenum / Q000601:surgery*; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008026:Ligation; D008099:Liver / Q000601:surgery*; D008102:Liver Circulation; D008722:Methods; D013663:Teaching; D013997:Time Factors
Leberresektionen unter Occlusion des Ligamentum hepato-duodenale. Absage an eine Lehrbuchmeinung