Segment VIII resection of the cirrhotic liver under continuous pringle maneuver with in situ cooling followed by temporary portal decompression.
Successful segment VIII resection under continuous Pringle maneuver has been performed on a cirrhotic patient, using a new technique that combined the methods of in situ liver cooling and subsequent temporary decompression of the portal system. This procedure prevents the major drawbacks of the Pringle maneuver: the ischemic injury of the liver and the abdominal visceral venous stagnation, particularly when performed on the patient with chronic liver disease.
Kim
Y I
YI
Department of Surgery, Biomolecular Engineering Center, School of Medicine, Kyungpook National University, Taegu, Korea.
Kitano
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S
D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000150:complications / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007036:Hypothermia, Induced; D008103:Liver Cirrhosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008113:Liver Neoplasms / Q000098:blood supply / Q000150:complications / Q000601:surgery; D017082:Portal Pressure; D011169:Portal Vein / Q000601:surgery*; D011170:Portasystemic Shunt, Surgical; D015427:Reperfusion Injury / Q000517:prevention & control; D016896:Treatment Outcome