EXPERIENCE OF NORMOTHERMIC COMPLETE HEPATIC VASCULAR EXCLUSION FOR EXTENSIVE HEPATECTOMY (REPORT OF 4 CASES)

CompletehepaticvascularexclusionforextensivehepatectomywasfirstdescribedbyHeaneyandassociationsin1966ti)anddidnotreceiveextensiveclincialapplicationuntilthe1970's2.3i.In1980's,theclinicalreportsaboutthistechnicalapplicationappearedandincreasedinourcountry"'.Onthebasisofanimalexperience.weusedthistechniquetoperformmajorhepatectomyfor4patientswhowereillwithprimarylivercancer.Thefollowingisourreport.CLINICALDATA1Therewere4casesinthisseries.onemaleandtheotherthreefemale.Pathologicalclassifi…

EXPERIENCE OF NORMOTHERMIC COMPLETE HEPATIC VASCULAR EXCLUSION FOR EXTENSIVE HEPATECTOMY(REPORT OF 4 CASES)

This paper deals with an experience of normothermic complete hepatic vascular exclusionfor extensive hepatectomy. All the 4 cases suffered from primary'llver carcinoma. In one case, thelarge tumor was situated in the left lobe, and the other tumor was situated in the left lobe, and in therest of them, the tumor even occupied the greater Part or the right lobe with one or the patient's inferior vena cave being Invaded by tumor seriously. Clamps were applied to the abdominal aorta, on theportal triads and to the inferior vena cave below and above the liver. Blood Intake during operationwas from 1000 to 1200 millilitres Hemodynareic alterations during hepatic vascular isolation wereslight and temporary. Biochemical alterations during operation we.re mainly metabolic acidosis. Postoperatively, serum bilirubin and serum enzymes elevation, total protein and albumin decrease werethe principal biological changes. The hepatic specimens weighed from 1400 to 1850 grams. This technique greatly reduced intraoperative hemorrhage, increased operative safety and raised the resectional rate of liver.