Liver hanging maneuver decreases blood loss and operative time in a right-side hepatectomy.
Hepatogastroenterology
; 59(114): 542-5, 2012.
Article
em En
| MEDLINE
| ID: mdl-22353521
ABSTRACT
BACKGROUND/AIMS:
To clarify the clinical benefits of the maneuver in right-side hepatectomy.METHODOLOGY:
Eighty-one patients with liver tumor (54 hepatocellular carcinoma, 17 metastatic liver tumor and 10 other tumors) treated with a right-side hepatectomy were prospectively analyzed. The patients were divided into the following three groups a conventional approach (group A, n=21); liver dissection under the hanging maneuver after liver mobilization (group B, n=19) and liver dissection under the hanging maneuver prior to liver mobilization (group C, n=41).RESULTS:
The liver hanging maneuver was safely performed in all the patients in groups B and C. Tumor size had a significantly positive correlation with the amount of intraoperative blood loss (R=0.52, p<0.05) in group A only. The patients in groups B and C had a significantly lower intraoperative use of blood loss (both p<0.01), operation time (p<0.05 and p<0.01) and the frequency of blood product (both p<0.05), in comparison to group A, respectively. The postoperative morbidity and the mortality rates were similar in the three groups.CONCLUSIONS:
Liver hanging maneuver is a safe procedure, which can decrease intraoperative blood loss and administration of blood product in right-side hepatectomy.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Perda Sanguínea Cirúrgica
/
Carcinoma Hepatocelular
/
Hepatectomia
/
Neoplasias Hepáticas
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article