[The application of selective portal inflow occlusion in laparoscopic hepatectomy].
OBJECTIVE
To discuss the safety and the feasibility of laparoscopic selective portal inflow occlusion.


METHODS
From January 2005 to February 2006, 7 patients were performed by laparoscopic hepatectomy with selective portal inflow occlusion. The patients included 1 male and 6 females, the mean age was 48.9 years, ranged from 31 to 70 years. Procedure included left lateral segmentectomies (4 patients), left hemihepatectomies (2 patients), and right hemihepatectomies (1 patient). Portal vein, hepatic artery and their branches were exposed by blunt dissection and performed selective portal occlusion with absorbable clips.


RESULTS
There is no conversion, no mortality, and no postoperative complication. Seven selective portal inflow occlusions were performed successfully. The mean operating time was 188.7 min (range 70 min to 300 min), the mean intraoperative blood loss was 625 ml (range 350 ml to 1000 ml), and the mean postoperative hospital stay was 8.4 days.


CONCLUSIONS
Laparoscopic selective portal inflow occlusion is a safe and feasible technique.
Cai
Xiu-jun
XJ
Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. cxjzu@hotmail.com
Wang
Yi-fan
YF
Liang
Xiao
X
Yu
Hong
H
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged