Minimizing blood loss during hepatectomy: a literature review.
There are numerous techniques surgeons employ to reduce blood loss during partial hepatectomy. In this literature review, prospective studies from the last 20 years are examined to determine the techniques that are best supported by the literature. Some of the techniques include vascular control, multiple parenchymal transection techniques, various hemostatic agents, low central venous pressure, and hemodilution. The strategies supported most convincingly by the literature include low CVP and total hepatic inflow occlusion.
Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Justin T
JT
Huntington
Nelson A
NA
Royall
Carl R
CR
Schmidt
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002496:Central Venous Pressure; D006438:Hemodilution; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000627:therapeutic use; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000098:blood supply*
D006490:Hemostatics
bleeding; blood; blood loss; hemorrhage; hepatectomy; hepatic; liver; liver resection; parenchymal transection; transfusion; vascular control