Document Detail


Pre-ligation of afflicted hepatic inflow and outflow blood vessels of lesioned liver lobe during hepatectomy.
MedLine Citation:
PMID:  14599939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the merits of hepatectomy after pre-ligation of the hepatic inflow and outflow blood vessels of the lesioned liver lobe with those of Pringle's maneuver. METHODS: A total of 68 patients were divided into two groups A and B. In the group A (n=38), Pringle's maneuver was employed, whereas in the group B (n=30), hepatectomy after pre-ligation of the hepatic inflow and outflow blood vessels of the lesioned side of the liver was used. Peri-operative blood loss, postoperative bleeding and drainage, time of liver function recovery as well as incidence of postoperative complications were compared between the 2 groups. RESULTS: The mean perioperative blood loss, the mean amount of postoperative bleeding and drainage, the time of liver function recovery as well as incidence of postoperative complications were significantly higher in the group A than in the group B (P<0.01). CONCLUSION: Hepatectomy after pre-ligation of the hepatic inflow and outflow blood vessels of the lesioned side of the liver is superior to Pringle's maneuver.
Authors:
Zhe-Fu Li; Min Song
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  2     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-11-05     Completed Date:  2004-01-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  358-61     Citation Subset:  IM    
Affiliation:
Department of Hepatobiliary, Qingdao Municipal Hospital, Qingdao University Medical College, Qingdao 266011, China. lizhefu@public.qd.sd.cn
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Loss, Surgical
Female
Hepatectomy / methods*
Hepatic Artery / surgery*
Hepatic Veins / surgery*
Humans
Ligation
Liver / physiology,  surgery
Liver Cirrhosis / surgery*
Liver Neoplasms / surgery*
Male
Middle Aged
Postoperative Hemorrhage
Surgical Instruments
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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