Hemihepatic Vascular Occlusion During Liver Resection for HCC
Author Information
Author(s): R Dionigi, L Dominioni, G Carcano, A Benevento, S Cuffad, R Galozzi
Primary Institution: Department of Surgery, University of Pavia-Varese, Ospedale Multizonale di Varese, Italy
Hypothesis
Can intermittent hemihepatic vascular occlusion improve outcomes during liver resection in cirrhotic patients with HCC?
Conclusion
The technique allowed for successful bisegmentectomy with minimal blood loss and no liver insufficiency postoperatively.
Supporting Evidence
- Total left liver ischemia was 42 minutes and right liver ischemia was 47 minutes.
- The technique resulted in low intraoperative blood loss of 900 ml without requiring hemotransfusion.
- The patient was discharged after 15 days with an uncomplicated postoperative course.
Takeaway
Doctors used a special method to operate on a patient with liver cancer while keeping blood flow safe, and it worked well.
Methodology
The patient underwent arterial chemoembolization followed by surgical resection using intermittent hemihepatic vascular occlusion and ultrasonically guided liver resection.
Participant Demographics
55-year-old male with alcoholic cirrhosis and portal hypertension.
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