[Influence of pedicle clamping in partial hepatic resection with the Nd YAG laser. Comparative study in a series of 15 pigs].
Liver resection is performed in 15 pigs by means of low divergent Nd YAG laser, the hepatic pedicle being clamped and not. Clamping does not modify the efficiency of laser hemostasis during resection but increases the thickness of the ischemic layer underlying the cut liver edge. The coagulation necrosis and the edematous layer are more thickened. Migration of inflammatory cells and young fibrosis present at day 3 are gaining ground until day 15. During the same period, biliary neoductules and nodules of hepatic regeneration appear. Hepatic inflow being conserved, these reactions are delayed and less intensive. The hyperthermia, the inflammatory cellular reaction and the deepness of parenchymal damages induces by pedicle clamping are suitable for antitumoral surgery. Cooling effects of hepatic inflow are better for traumatic surgery.
D000818:Animals; D003250:Constriction / Q000009:adverse effects; D006488:Hemostasis, Surgical / Q000009:adverse effects / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D007511:Ischemia / Q000209:etiology; D053685:Laser Therapy; D008099:Liver / Q000098:blood supply / Q000473:pathology*; D008115:Liver Regeneration / Q000528:radiation effects; D009336:Necrosis; D011183:Postoperative Complications; D013552:Swine
Influence du clampage pédiculaire dans les résections hépatiques partielles au laser YAG Nd. Etude comparative sur une série de 15 porcs.