Document Detail


Techniques, hemodynamic monitoring, and indications for vascular clamping during liver resections.
MedLine Citation:
PMID:  9683757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prevention of intraoperative blood loss during liver resection is an essential prognostic factor for reducing postoperative morbidity and mortality. Several procedures are currently available to ensure vascular occlusion, ranging from selective clamping of a segmental pedicle to total hepatic vascular occlusion. The type of vascular occlusion should be selected according to the indication and, in particular, according to the site of the tumor, presence of associated underlying liver disease, the patient's cardiovascular status, and the experience of the operator. The surgical strategy should be defined with the anesthesiologist and the type of hemodynamic monitoring selected should allow the best choice for management and prevention of complications such as bleeding and air embolism. Transesophageal echocardiography seems to be a new and promising method in this setting.
Authors:
J Belghiti; J Marty; O Farges
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  5     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  1998  
Date Detail:
Created Date:  1998-08-31     Completed Date:  1998-08-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  69-76     Citation Subset:  IM    
Affiliation:
Department of Digestive Surgery, Hospital Beaujon, University Paris VII, Clichy-Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Echocardiography, Transesophageal
Hemodynamics*
Hemostasis, Surgical / instrumentation*
Hepatectomy* / methods
Humans
Monitoring, Intraoperative*
Surgical Instruments

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