Journal article
Evaluation of 50 consecutive segmental hepatic resections
The American journal of surgery, Vol.165(5), pp.621-624
1993
DOI: 10.1016/S0002-9610(05)80447-7
PMID: 8488948
Abstract
The development of increasingly sensitive imaging techniques along with improved follow-up and screening of high-risk patients has led to hepatic tumors, both primary and secondary, being detected while still at an early stage. Improved understanding of hepatic anatomy along with advances in surgical technique has led to the ability to undertake hepatic resections based on the segmental hepatic anatomy as described by Couinaud. The purpose of this paper is to assess the safety, technique, and oncologic efficacy of segmental hepatic resection.
Fifty consecutive patients undergoing segmental hepatic resection during a 3-year time period ending in January 1992 were reviewed. Parametric statistical analysis was undertaken using, Student's
t-tests. Overall mortality was 2% with a morbidity rate of 8%. Transfusion requirements were 1±1.5 U; however, cirrhotic patients showed a significantly increased transfusion requirement of 2.0±1.3 U versus 0.7±1.3 U (p=0.03). Sixty percent of patients required no transfusion at all. The mean duration of inflow occlusion was 42±17, minutes. Resection margins were clear of tumor by greater than 1 cm in 48 of 50 patients. Segmental hepatic resection is a safe and effective technique that occasionally may offer advantages over formal resection. Some aspects of the technique are reviewed.
Details
- Title: Subtitle
- Evaluation of 50 consecutive segmental hepatic resections
- Creators
- Alan W. Hemming - Vancouver, British Columbia, CanadaCharles H. Scudamore - Vancouver, British Columbia, CanadaAaron Davidson - Vancouver, British Columbia, CanadaSigfried R. Erb - Vancouver, British Columbia, Canada
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.165(5), pp.621-624
- Publisher
- Elsevier Inc
- DOI
- 10.1016/S0002-9610(05)80447-7
- PMID
- 8488948
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 1993
- Academic Unit
- Surgery
- Record Identifier
- 9984322936102771
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