[Hepatectomy under continuous normothermic interruption of hepatic blood flow in noncirrhotic patients].
Continuous normothermic interruption of hepatic blood flow for 20 minutes or longer was applied in 37 non-cirrhotic patients, including 7 having emergency operation and 30 elective operation. Hepatic blood inflow was interrupted for 40 to 47 minutes in 4 patients, 30 to 39 minutes in 7, 25 to 29 minutes in 14, and 20 to 24 minutes in 12. Postoperatively, 1 patient died of recurrent hemobilia, which was not related to intraoperative vascular interruption. Two patients had mild jaundice for 1 week after right trilobectomy, while the remaining 34 patients recovered uneventfully with no clinical hepatic insufficiency. This method is considered simple, safe, and acceptable for hepatic resection in non-cirrhotic patients.
Han
M
M
First Affiliated Hospital, Hunan Medical University.
D000293:Adolescent; D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006391:Hemangioma / Q000503:physiopathology / Q000601:surgery; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D008100:Liver Abscess / Q000503:physiopathology / Q000601:surgery; D008102:Liver Circulation; D008113:Liver Neoplasms / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013696:Temperature; D013997:Time Factors