title: [Hepatic vein occlusion with Satinsky clamp in hepatectomy for complicated liver tumor].
abstract: OBJECTIVE
  To investigate the application of an improved method of hepatic vein occlusion with Satinsky clamp when resecting the liver tumor involving second hepatic portal.
  
  
  METHODS
  From January 2003 to December 2010, there were totally 330 patients with liver tumor admitted, who underwent liver resection with Pringle maneuver plus hepatic vein occlusion with Satinsky clamp. Data regarding the intra-operative and post-operative course of the patients were analyzed. There were 245 male and 85 female patients, with a mean age of (50 ± 11) years. The diameter of tumor was (9 ± 6) cm. Among the 330 patients, there were 271 patients with viral hepatitis B, 215 patients with liver cirrhosis; 321 patients were in Child class A of liver function and 9 in class B. Pringle maneuver plus hepatic vein occlusion with Satinsky clamp was used to occlude the blood flow in the liver resection. The liver transection was performed with clamp-crushing technique.
  
  
  RESULTS
  Hepatic vein occlusion with Satinsky clamp was successful in all 330 patients. The operation time was (132 ± 29) minutes, while (7 ± 3) minutes for dissecting hepatic vein and (22 ± 7) minutes for inflow blood occlusion. The blood loss in operation was (480 ± 265) ml, with 20% of patients receiving blood transfusion. No patient had large hemorrhage and air embolism due to hepatic vein laceration. No patient died in the perioperative period. The complications included 31 patients of pleural effusion, 14 patients of seroperitoneum, 10 patients of biliary fistula, 2 patients of massive blood loss during liver resection and 2 patients of re-bleeding after operation.
  
  
  CONCLUSIONS
  The method of hepatic vein occlusion with Satinsky clamp was safe and effective.
authors.affiliation: Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China.
authors.forename: Zhen-guang
authors.initials: ZG
authors.lastname: Wang
authors.forename: Si-yuan
authors.initials: SY
authors.lastname: Fu
authors.forename: Ze-ya
authors.initials: ZY
authors.lastname: Pan
authors.forename: Gang
authors.initials: G
authors.lastname: Huang
authors.forename: Yuan
authors.initials: Y
authors.lastname: Yang
authors.forename: Jin
authors.initials: J
authors.lastname: Zhang
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.forename: Chuan
authors.initials: C
authors.lastname: Lin
authors.forename: Ai-jun
authors.initials: AJ
authors.lastname: Li
authors.forename: Wei-ping
authors.initials: WP
authors.lastname: Zhou
authors.forename: Meng-chao
authors.initials: MC
authors.lastname: Wu
mesh_terms: D000328:Adult; D005260:Female; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000097:blood / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013525:Surgical Instruments; D060205:Therapeutic Occlusion