[Hemihepatectomy under hepato-portal interruption at normal temperature for liver malignancies--a report of 20 patients].
From July 1984 to December 1985, hemihepatectomy was done in 20 liver cancer patients under normothermic interruption of porta hepatis. There were 19 primary and 1 secondary liver carcinomas. Of the former, 17 (89%) were associated with mild or moderate cirrhosis. The peak age ranged 36-60 years. Right hemihepatectomy was performed in 18 and left hemihepatectomy in 2 with an operative mortality of 0%. Hepatic failure or secondary bleeding was not found. In the specimens resected, the largest weight was 2,500 gm. The normothermic interruption of porta hepatis usually lasted 15-25 minutes, a time long enough for hemihepatectomy. This procedure, being simple in manipulation and less detrimental to physiologic and biochemical balance in the human body, is relatively practical and beneficial to hepatectomy.
Rui
J G
JG
Cancer Hospital, Chinese Academy of Medical Sciences, Beijing.
Qu
J Y
JY
Su
Y
Y
Li
Z W
ZW
Wang
K
K
Zhu
G J
GJ
Wu
J X
JX
Chen
G J
GJ
Wang
C F
CF
Mao
X W
XW
D000328:Adult; D001831:Body Temperature; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged