| Extended left hepatectomy of the left and middle hepatic venous drainage areas along the anterior fissure. | |
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MedLine Citation:
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PMID: 20409530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Extended left hepatectomy including the middle hepatic vein (MHV) may potentially induce right paramedian sector congestion of the remnant liver. METHODS: To prevent venous congestion in the right paramedian sector, we performed extended left hepatectomy including the left hemiliver and anterior segment, which drain into the MHV and left hepatic vein (LHV), for 15 patients. RESULTS: In 11 of 15 patients (73%), temporary clamping of the common trunk of the MHV and LHV and the proper hepatic artery provided the anterior fissure. Regeneration rate of the middle segment was similar to that of the right lateral sector (10.8% vs 11.2%) on postoperative computed tomography (CT) after 3 months. CONCLUSIONS: This procedure could represent a useful method for preventing postoperative venous congestion. |
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Authors:
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Akihiro Cho; Hiroshi Yamamoto; Osamu Kainuma; Matsuo Nagata; Nobuhiro Takiguchi; Hideaki Shimada; Hiroaki Soda; Hisashi Gunji; Akinari Miyazaki; Atsushi Ikeda |
Publication Detail:
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Type: Journal Article Date: 2010-04-21 |
Journal Detail:
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Title: American journal of surgery Volume: 200 ISSN: 1879-1883 ISO Abbreviation: Am. J. Surg. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-08-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 186-90 Citation Subset: AIM; IM |
Copyright Information:
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Crown Copyright (c) 2010. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba, Japan. acho@chiba-cc.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Bile Duct Neoplasms / pathology, surgery* Bile Ducts, Intrahepatic* Cholangiocarcinoma / pathology, surgery* Cohort Studies Female Hepatectomy / adverse effects, methods* Hepatic Veins Humans Hyperemia / etiology, prevention & control* Liver Neoplasms / pathology, surgery* Male Middle Aged Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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