Treatment for postoperative liver failure after major hepatectomy under hepatic total vascular exclusion.
J Artif Organs
; 6(2): 152-6, 2003.
Article
em En
| MEDLINE
| ID: mdl-14621697
ABSTRACT
Hepatic total vascular exclusion (HTVE) with clamping of the portal triad and the inferior vena cava below and above the liver is a useful technique in the resection of major hepatic lesions situated close to the hepatic veins and inferior vena cava. From 1996 to 2000, five patients underwent major hepatectomy under HTVE; among these, liver failure occurred in two patients because of liver cirrhosis or hepatic artery interruption. In the former case, apheresis therapy (plasma exchange 9 times), continuous prostaglandin E, (PGE,) infusion via the hepatic artery(0.01 tg/kg/min) for 7 days, and hyperbaric oxygen therapy (3 times 2 ATA, 60 min) were applied. In the latter case, apheresis therapy (plasma exchange 9 times, continuous hemodiafiltration 12 days) and continuous PGE, infusion via the superior mesenteric artery for 7 days were applied. With these treatment modalities, both cases were cured of postoperative liver failure.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Veia Porta
/
Veia Cava Inferior
/
Falência Hepática
/
Hepatectomia
/
Artéria Hepática
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article