Perioperative analysis of laparoscopic liver resection with different methods of hepatic inflow occlusion
During liver resection, bleeding remains the most important challenge. A reduction in blood loss and avoiding the need for a blood transfusion are important objectives for liver surgeons today. The authors compared the intra- and postoperative course of patients undergoing laparoscopic liver resecti...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2012-05, Vol.22 (4), p.343-348 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
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| creator | Tan, JingWang Tan, YunChang Zhu, YuLi Chen, Ke Hu, BenShun Tan, HuaMin Ding, XiangMin Leng, JianJun Chen, Fei Dong, JiaHong |
| description | During liver resection, bleeding remains the most important challenge. A reduction in blood loss and avoiding the need for a blood transfusion are important objectives for liver surgeons today. The authors compared the intra- and postoperative course of patients undergoing laparoscopic liver resections under intermittent total pedicle occlusion (IPO), hemihepatic vascular occlusion (HVO), and selective vascular occlusion (SVO).
Retrospective analysis was conducted of patient data from 41 cases of laparoscopic liver resection in three groups of patients under different occlusion methods, including 15 cases of IPO, 15 cases of HVO, and 11 cases of SVO. The advantages and disadvantages of the various methods were compared, as well as blood loss, operation time, changes in postoperative liver function, and complications.
There was no operative death in any of the 41 patients. Generally, there was no significant difference among the three groups in blood loss, clamping time, or operative time. After the operation, the effect on liver function for the HVO and SVO groups was significantly less severe than that for the IPO group (P |
| doi_str_mv | 10.1089/lap.2011.0294 |
| format | Article |
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Retrospective analysis was conducted of patient data from 41 cases of laparoscopic liver resection in three groups of patients under different occlusion methods, including 15 cases of IPO, 15 cases of HVO, and 11 cases of SVO. The advantages and disadvantages of the various methods were compared, as well as blood loss, operation time, changes in postoperative liver function, and complications.
There was no operative death in any of the 41 patients. Generally, there was no significant difference among the three groups in blood loss, clamping time, or operative time. After the operation, the effect on liver function for the HVO and SVO groups was significantly less severe than that for the IPO group (P<.05). The incidence of postoperative complications was mainly related to IPO and the larger amount of bleeding.
Both HVO and SVO are feasible in laparoscopic hepatectomy and have the advantage of reducing liver remnant ischemia injury and modality rate over IPO. HVO is easy to do for left lateral lobe or resection of the left half of the liver. SVO is suitable for right lobe resection.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2011.0294</identifier><identifier>PMID: 22577806</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Biomarkers - blood ; Blood Loss, Surgical ; Constriction ; Feasibility Studies ; Female ; Hepatectomy - adverse effects ; Hepatectomy - methods ; Hepatic Veins ; Humans ; Incidence ; Laparoscopy - methods ; Liver - blood supply ; Liver - surgery ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Male ; Middle Aged ; Patient Positioning - methods ; Perioperative Care - methods ; Pneumoperitoneum, Artificial ; Postoperative Complications - blood ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Hemorrhage - etiology ; Postoperative Hemorrhage - prevention & control ; Prealbumin - metabolism ; Retrospective Studies ; Risk Factors ; Surgical Instruments ; Treatment Outcome</subject><ispartof>Journal of laparoendoscopic & advanced surgical techniques. Part A, 2012-05, Vol.22 (4), p.343-348</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-8d35727851acd66a927f0e9f34e8089684d5e31da553b65d7a6267b8d0fe01df3</citedby><cites>FETCH-LOGICAL-c293t-8d35727851acd66a927f0e9f34e8089684d5e31da553b65d7a6267b8d0fe01df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22577806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, JingWang</creatorcontrib><creatorcontrib>Tan, YunChang</creatorcontrib><creatorcontrib>Zhu, YuLi</creatorcontrib><creatorcontrib>Chen, Ke</creatorcontrib><creatorcontrib>Hu, BenShun</creatorcontrib><creatorcontrib>Tan, HuaMin</creatorcontrib><creatorcontrib>Ding, XiangMin</creatorcontrib><creatorcontrib>Leng, JianJun</creatorcontrib><creatorcontrib>Chen, Fei</creatorcontrib><creatorcontrib>Dong, JiaHong</creatorcontrib><title>Perioperative analysis of laparoscopic liver resection with different methods of hepatic inflow occlusion</title><title>Journal of laparoendoscopic & advanced surgical techniques. Part A</title><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><description>During liver resection, bleeding remains the most important challenge. A reduction in blood loss and avoiding the need for a blood transfusion are important objectives for liver surgeons today. The authors compared the intra- and postoperative course of patients undergoing laparoscopic liver resections under intermittent total pedicle occlusion (IPO), hemihepatic vascular occlusion (HVO), and selective vascular occlusion (SVO).
Retrospective analysis was conducted of patient data from 41 cases of laparoscopic liver resection in three groups of patients under different occlusion methods, including 15 cases of IPO, 15 cases of HVO, and 11 cases of SVO. The advantages and disadvantages of the various methods were compared, as well as blood loss, operation time, changes in postoperative liver function, and complications.
There was no operative death in any of the 41 patients. Generally, there was no significant difference among the three groups in blood loss, clamping time, or operative time. After the operation, the effect on liver function for the HVO and SVO groups was significantly less severe than that for the IPO group (P<.05). The incidence of postoperative complications was mainly related to IPO and the larger amount of bleeding.
Both HVO and SVO are feasible in laparoscopic hepatectomy and have the advantage of reducing liver remnant ischemia injury and modality rate over IPO. HVO is easy to do for left lateral lobe or resection of the left half of the liver. SVO is suitable for right lobe resection.</description><subject>Adult</subject><subject>Aged</subject><subject>Biomarkers - blood</subject><subject>Blood Loss, Surgical</subject><subject>Constriction</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Hepatectomy - adverse effects</subject><subject>Hepatectomy - methods</subject><subject>Hepatic Veins</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laparoscopy - methods</subject><subject>Liver - blood supply</subject><subject>Liver - surgery</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Positioning - methods</subject><subject>Perioperative Care - methods</subject><subject>Pneumoperitoneum, Artificial</subject><subject>Postoperative Complications - blood</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Postoperative Hemorrhage - prevention & control</subject><subject>Prealbumin - metabolism</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgical Instruments</subject><subject>Treatment Outcome</subject><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LAzEQhoMoVqtHr5Kjl6352CSboxS_oKAHPS9pMqGR7WZNtpb-e1OrzmUG5pkX5kHoipIZJY2-7cwwY4TSGWG6PkJnVAhVacLr4zITzSpZMz1B5zl_kFKa16dowphQqiHyDIVXSCEOkMwYvgCb3nS7HDKOHpdkk2K2cQgWd2WbcIIMdgyxx9swrrAL3kOCfsRrGFfR_ZytYChZFofed3GLo7XdJpeTC3TiTZfh8rdP0fvD_dv8qVq8PD7P7xaVZZqPVeO4UEw1ghrrpDSaKU9Ae15DU_6VTe0EcOqMEHwphVNGMqmWjSMeCHWeT9HNIXdI8XMDeWzXIVvoOtND3OSWEsqVJLoRBa0OqC1_5gS-HVJYm7QrULu32xYH7d5uu7db-Ovf6M1yDe6f_tPJvwE9nXeV</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Tan, JingWang</creator><creator>Tan, YunChang</creator><creator>Zhu, YuLi</creator><creator>Chen, Ke</creator><creator>Hu, BenShun</creator><creator>Tan, HuaMin</creator><creator>Ding, XiangMin</creator><creator>Leng, JianJun</creator><creator>Chen, Fei</creator><creator>Dong, JiaHong</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Perioperative analysis of laparoscopic liver resection with different methods of hepatic inflow occlusion</title><author>Tan, JingWang ; 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Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, JingWang</au><au>Tan, YunChang</au><au>Zhu, YuLi</au><au>Chen, Ke</au><au>Hu, BenShun</au><au>Tan, HuaMin</au><au>Ding, XiangMin</au><au>Leng, JianJun</au><au>Chen, Fei</au><au>Dong, JiaHong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative analysis of laparoscopic liver resection with different methods of hepatic inflow occlusion</atitle><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><date>2012-05</date><risdate>2012</risdate><volume>22</volume><issue>4</issue><spage>343</spage><epage>348</epage><pages>343-348</pages><issn>1092-6429</issn><eissn>1557-9034</eissn><abstract>During liver resection, bleeding remains the most important challenge. A reduction in blood loss and avoiding the need for a blood transfusion are important objectives for liver surgeons today. The authors compared the intra- and postoperative course of patients undergoing laparoscopic liver resections under intermittent total pedicle occlusion (IPO), hemihepatic vascular occlusion (HVO), and selective vascular occlusion (SVO).
Retrospective analysis was conducted of patient data from 41 cases of laparoscopic liver resection in three groups of patients under different occlusion methods, including 15 cases of IPO, 15 cases of HVO, and 11 cases of SVO. The advantages and disadvantages of the various methods were compared, as well as blood loss, operation time, changes in postoperative liver function, and complications.
There was no operative death in any of the 41 patients. Generally, there was no significant difference among the three groups in blood loss, clamping time, or operative time. After the operation, the effect on liver function for the HVO and SVO groups was significantly less severe than that for the IPO group (P<.05). The incidence of postoperative complications was mainly related to IPO and the larger amount of bleeding.
Both HVO and SVO are feasible in laparoscopic hepatectomy and have the advantage of reducing liver remnant ischemia injury and modality rate over IPO. HVO is easy to do for left lateral lobe or resection of the left half of the liver. SVO is suitable for right lobe resection.</abstract><cop>United States</cop><pmid>22577806</pmid><doi>10.1089/lap.2011.0294</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Biomarkers - blood Blood Loss, Surgical Constriction Feasibility Studies Female Hepatectomy - adverse effects Hepatectomy - methods Hepatic Veins Humans Incidence Laparoscopy - methods Liver - blood supply Liver - surgery Liver Neoplasms - secondary Liver Neoplasms - surgery Male Middle Aged Patient Positioning - methods Perioperative Care - methods Pneumoperitoneum, Artificial Postoperative Complications - blood Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Hemorrhage - etiology Postoperative Hemorrhage - prevention & control Prealbumin - metabolism Retrospective Studies Risk Factors Surgical Instruments Treatment Outcome |
| title | Perioperative analysis of laparoscopic liver resection with different methods of hepatic inflow occlusion |
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