Liver Resection under Total Vascular Occlusion for Hepatoma in Contact with Hepatic Vein or Inferior Vena Cava / 한국간담췌외과학회지

ABSTRACT

Total vascular occlusion (TVO) of the liver was used during parenchyma resection in two patients with large hepatoma located near hepatic vein or inferior vena cava. This technique was achieved by clamping the porta hepatis as well as suprahepatic and infrahepatic IVC. Durations of TVO were 15 and 25 minutes respectively. Three and four units of packed RBC were transfused for each patient. Postoperative hepatic or renal failure did not occur. The technique of TVO is easy and safe for resection of large and critically located tumors that would otherwise present operative risk.