Abstract:
Objective
To explore the safety and feasibility of selective hepatic vascular control in hepatectomy.
Methods
The data of 65 cases of hepatectomy in our hospital from 2002.03 to 2006.10 were analyzed retrospectively,including a group of selective hepatic vascular control(HVC,n=28)and a group of Pringle's maneuver(Pringle,n=37).The operative bleeding volume,operative time,the recovery of postoperative liver function,mean drainage volume of two postoperative days and postoperative complication were compared between the two groups.
Results
There were no significant differences between the two groups in operative bleeding volume and operative time.Serum ALT value of the third and the seventh postoperative days in HVC group was significantly lower than that of the Pringle group.The mean drainage volume of the first two days in HVC group was significantly less than that of the Pringle group.There were 2 cases of liver failure in Pringle group and one of them died.No liver failure and death were found in HVC group.
Conclusion
Selective hepatic vascular control is safe and feasible in hepatectomy.It helps more to the recovery of liver function than the Pringle's maneuver.It can also reduce the occurance of liver failure.
Key words:
Hepatectomy,
Neoplasm,liver,
Hepatic vascular control
Yingjun Chen, Zuojun Zhen, Shuying Sun, Yunfeng Cai. The use of selective hepatic vascular control in hepatectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2007, 01(02): 112-114.