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Article: Protection of the liver during partial hepatectomy

TitleProtection of the liver during partial hepatectomy
Authors
Issue Date2004
PublisherThe First Affiliated Hospital, Zhejiang University School of Medicine. The Journal's web site is located at http://www.hbpdint.com/
Citation
Hepatobiliary And Pancreatic Diseases International, 2004, v. 3 n. 4, p. 490-494 How to Cite?
AbstractBackground: Liver failure is the most common cause of mortality for patients undergoing partial hepatectomy. Given adequate liver function and remnant liver volume and absence of co-morbid illness, the cause of liver failure is frequently related to technical errors, which induces massive bleeding and ischemic damage to the liver remnant. Data resources: From author' s practice at Queen Mary Hospital, the University of Hong Kong. Results: To avoid technical errors leading to liver ischemia and failure, adequate exposure, control of bleeding during liver transection, and planning of transection plane are important. Ultrasonic dissector is the best instrument in liver transection. Its careful use can reduce blood loss and help recognize the hepatic vein, the exposure of which serves as an important landmark for a correct transection plane. Even without Pringle maneuver, minimum bleeding during transection could be achieved. Conclusion: Protection of the liver remnant is important to patient survival after partial hepatectomy. It is achieved by meticulous surgical techniques that reduce bleeding to a minimum. © 2004, Hepatobiliary Pancreat Dis Int. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/173048
ISSN
2015 Impact Factor: 1.724
2015 SCImago Journal Rankings: 0.717
References

 

DC FieldValueLanguage
dc.contributor.authorFan, STen_US
dc.date.accessioned2012-10-30T06:26:58Z-
dc.date.available2012-10-30T06:26:58Z-
dc.date.issued2004en_US
dc.identifier.citationHepatobiliary And Pancreatic Diseases International, 2004, v. 3 n. 4, p. 490-494en_US
dc.identifier.issn1499-3872en_US
dc.identifier.urihttp://hdl.handle.net/10722/173048-
dc.description.abstractBackground: Liver failure is the most common cause of mortality for patients undergoing partial hepatectomy. Given adequate liver function and remnant liver volume and absence of co-morbid illness, the cause of liver failure is frequently related to technical errors, which induces massive bleeding and ischemic damage to the liver remnant. Data resources: From author' s practice at Queen Mary Hospital, the University of Hong Kong. Results: To avoid technical errors leading to liver ischemia and failure, adequate exposure, control of bleeding during liver transection, and planning of transection plane are important. Ultrasonic dissector is the best instrument in liver transection. Its careful use can reduce blood loss and help recognize the hepatic vein, the exposure of which serves as an important landmark for a correct transection plane. Even without Pringle maneuver, minimum bleeding during transection could be achieved. Conclusion: Protection of the liver remnant is important to patient survival after partial hepatectomy. It is achieved by meticulous surgical techniques that reduce bleeding to a minimum. © 2004, Hepatobiliary Pancreat Dis Int. All rights reserved.en_US
dc.languageengen_US
dc.publisherThe First Affiliated Hospital, Zhejiang University School of Medicine. The Journal's web site is located at http://www.hbpdint.com/en_US
dc.relation.ispartofHepatobiliary and Pancreatic Diseases Internationalen_US
dc.subject.meshDissection - Instrumentationen_US
dc.subject.meshHemostasis, Surgicalen_US
dc.subject.meshHepatectomy - Adverse Effects - Methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshLiver Failure - Etiology - Prevention & Controlen_US
dc.subject.meshPatient Care Planningen_US
dc.subject.meshUltrasonicsen_US
dc.titleProtection of the liver during partial hepatectomyen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.pmid15567730-
dc.identifier.scopuseid_2-s2.0-9444277120en_US
dc.identifier.hkuros96568-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-9444277120&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume3en_US
dc.identifier.issue4en_US
dc.identifier.spage490en_US
dc.identifier.epage494en_US
dc.publisher.placeChinaen_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US

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