Control of large defect of inferior vena cava during hepatectomy.
Torrential bleeding from a large defect in the inferior vena cava is a dangerous complication of hepatectomy. Instead of mobilization, encircling and clamping of the inferior vena cava for control, the author described a simpler technique of controlling the defect using the surgeon's fingers. In two such cases, the bleeding was successfully controlled.
Fan
S T
ST
Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong. hrmsfst@hkucc.hku.hk
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006488:Hemostasis, Surgical; D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012509:Sarcoma / Q000000981:diagnostic imaging / Q000601:surgery*; D013525:Surgical Instruments; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*