Hepatic Resection Using Intermittent Vascular Inflow Occlusion and Low Central Venous Pressure Anesthesia Improves Morbidity and Mortality

Journal of Gastrointestinal Surgery

Volumn 4, Issue 2, 2000, Pages 162-167

  Chen, Herbert ^a   Merchant, Nipun B ^a,b   Didolkar, Mukund S ^a,b  

^a DEPARTMENT OF PATHOLOGY   (United States)

^b SINAI HOSPITAL OF BALTIMORE   (United States)

Author keywords

Blood loss; Central venous pressure; Hepatic resection; Hepatic vascular inflow control

Indexed keywords

ARTICLE; BLEEDING; CENTRAL VENOUS PRESSURE; FEMALE; GENERAL ANESTHESIA; HUMAN; LENGTH OF STAY; LIVER; LIVER DISEASE; LIVER RESECTION; MALE; METHODOLOGY; MIDDLE AGED; MORBIDITY; MORTALITY; PATHOPHYSIOLOGY; PHYSIOLOGY; PROSPECTIVE STUDY; UNITED STATES; VASCULARIZATION;

ANESTHESIA, GENERAL; BALTIMORE; BLOOD LOSS, SURGICAL; CENTRAL VENOUS PRESSURE; FEMALE; HEPATECTOMY; HUMANS; LENGTH OF STAY; LIVER; LIVER DISEASES; MALE; MIDDLE AGED; MORBIDITY; PROSPECTIVE STUDIES;

EID: 0034146503     PISSN: 1091255X     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1091-255X(00)80052-9     Document Type: Article

References (24)

1. Rose AT, Rose DM, Pinson CW, et al. Hepatocellular carcinoma outcomes based on indicated treatment strategy. Am J Surg 1998;64:1128-1135.
2. Hughes KS, Simon R, Songhorabodi S, et al. Resection of the liver for colorectal carcinoma metastases: A multi-institutional study of patterns of recurrence. Surgery 1986;100:278-284.
3. Rosen CB, Nagorney DM, Taswell HF, et al. Perioperative blood transfusion and determinants of survival after liver resection for metastatic colorectal carcinoma. Ann Surg 1992; 216:492-505.
4. Scheele J, Stangl R, Altendorf-Hofmann A, Gall FP. Indicators of prognosis after hepatic resection for colorectal secondaries. Surgery 1991;110:13-29.
5. Chen H, Hardacre JM, Uzar A, et al. Isolated liver metastases from neuroendocrine tumors: Does resection prolong survival? J Am Coll Surg 1998;187:88-93.
6. Chen H, Pruitt A, Nicol TL, et al. Complete hepatic resection of metastases from leiomyosarcoma prolongs survival. J GASTROINTEST SURG 1998;2:151-155.
7. Starzl TE, Bell RH, Beart RW, Putnam CW. Hepatic trisegmentectomy and other liver resections. Surg Gynecol Obstet 1982;155:21-27.
8. Yanaga K, Kanematsu T, Takenaka K, et al. Hepatic resection for hepatocellular carcinoma in elderly patients. Am J Surg 1988,155:238-241.
9. Sitzmann JV, Greene PS. Perioperative predictors of morbidity following hepatic resection for neoplasm. Ann Surg 1994; 219:13-17.
10. Iwatsuki S, Starzl TE. Personal experience with 411 liver resections. Ann Surg 1988;208:421-434.
11. Adson MA, VanHeerden JA. Major hepatic resections for metastatic colorectal cancer. Ann Surg 1980;191:576-583.
12. Gayowski TJ, Iwantsuski S, Madariaga R, et al. Experience in hepatic resection for metastatic colorectal cancer: Analysis of clinical and pathological risk factors. Surgery 1994;116: 703-711.
13. Gozzetti G, Mazziotti A, Grazi GL, et al. Liver resection without blood transfusion. Br J Surg 1995;82:1105-1110.
14. Chen H, Sitzmann JY, Marcucci C, Choti MA. Acute isovolemic hemodilution during major hepatic resection - An initial report: Does it safely reduce the blood transfusion requirement? J GASTROINTEST SURG 1997;1:461-466.
15. Arnoletti JP, Brodsky J. Reduction of transfusion requirements during major hepatic resection for metastastic disease. Surgery 1999;125:166-171.
16. Melendez JA, Arslan V, Fischer ME, et al. Perioperative outcomes of major hepatic resection under low central venous pressure anesthesia: Blood loss, blood transfusion, and the risk of post-operative renal dysfunction. J Am Coll Surg 1998;187:620-625.
17. Belghiti J, Noun R, Zante E, et al. Portal triad clamping or hepatic vascular exclusion for major liver resection - A controlled study. Ann Surg 1996;224:155-161.
18. Habib N, Zografos G, Dalla Serra G, et al. Liver resection with total vascular exclusion for malignant tumors. Br J Surg 1994;81:1181-1184.
19. Cunningham JD, Fong Y, Shriver C, et al. One hundred consecutive hepatic resections. Blood loss, transfusion, and operative technique. Arch Surg 1994;129:1050-1056.
20. Goldsmith NA, Woodburne RT. The surgical anatomy pertaining to the liver. Surg Gynecol Obstet 1957;105:310-318.
21. Coumaud C. Schema general de la distribution intrahepatic. In Couinaud C, ed. Le Foie: Etudes Anatomiques et Chirurgicales. Paris: Masson & Cie, 1957, pp 9-12.
22. Emond J, Wachs ME, Renz JF, et al. Total vascular occlusion for major hepatectomy in patients with abnormal liver parenchyma. Arch Surg 1995,130:824-831.
23. Schaller RT, Schaller J, and Furman EB. The advantages of hemodilution anesthesia for major liver resection in children. J Pediatr Surg 1984;19:705-710.
24. Sejourne P, Poirier A, Meakins JL, et al. Effects of haemodilution on transfusion requirement in liver resection. Lancet 1989.2:1380-1382.