title: Segment VIII resection of the cirrhotic liver under continuous pringle maneuver with in situ cooling followed by temporary portal decompression.
abstract: 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.
authors.affiliation: Department of Surgery, Biomolecular Engineering Center, School of Medicine, Kyungpook National University, Taegu, Korea.
authors.forename: Y I
authors.initials: YI
authors.lastname: Kim
authors.forename: S
authors.initials: S
authors.lastname: Kitano
mesh_terms: 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