Document Detail


Use of transportal balloon catheter occlusion of the portal triad in prevention of bleeding during liver resection.
MedLine Citation:
PMID:  15693172     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Operative blood loss is among the most important factors determining the prognosis of patients undergoing hepatic resection. The best method for preventing bleeding is preliminary selective vascular occlusion of lobar, sectoral, or segmental portal triads, although not always technically feasible. METHOD: Transportal occlusion of the portal triad with a balloon catheter was used in 35 hepatectomies for various tumors. RESULTS: In 27 out of 35 resections, there was absence or minimal bleeding from afferent vessels (portal vein, hepatic artery). In the remaining eight cases, there was significant bleeding from the hepatic artery. In these cases, transportal occlusion of portal triad was combined with a temporary interruption of the hepatic artery after the dissection of the hepatoduodenal ligament. The average intraoperative blood loss was 350-1,500 ml. CONCLUSION: The use of a balloon catheter occlusion of the portal triad during liver resection is often technically feasible. It facilitates temporary occlusion of hardly accessible portal veins in the hepatic hilus without their prior exposure and minimizes bleeding.
Authors:
Meirav Sarely Israelashvili; Douglas B Zippel; Moshe Koller; Adrian Valeanu; Danny Scott; Shlomo Ayalon; Gur Y Ben Ari; Moshe Z Papa
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of surgical oncology     Volume:  89     ISSN:  0022-4790     ISO Abbreviation:  J Surg Oncol     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-04     Completed Date:  2005-02-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0222643     Medline TA:  J Surg Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  IM    
Affiliation:
Department of Surgery C and Surgical Oncology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Balloon Occlusion / methods*
Female
Hemostasis, Surgical / methods*
Hepatectomy
Humans
Male
Middle Aged
Portal System*

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


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