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Total vascular exclusion for liver resections: Pros and cons
Author(s) -
Zografos George N.,
Kakaviatos Nicolas D.,
Skiathitis Sotiris,
Habib Nagy
Publication year - 1999
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/(sici)1096-9098(199909)72:1<50::aid-jso14>3.0.co;2-a
Subject(s) - medicine , hepatectomy , resection , vascular occlusion , surgery , cons , computer science , programming language
Dramatic improvements in morbidity and mortality rates following liver resections have been reported in the past decade. Consequently, the indications for hepatectomy are becoming more liberal. Many techniques of liver resection with or without vascular clamping have been reported with excellent clinical results. Total vascular exclusion (TVE) of the liver during parenchymal transection has been advocated susceptible to increase the resectability of tumors that might not be safely approached by other techniques. Cirrhotic livers are probably more vulnerable to ischemic injury related to TVE than normal livers. The indications and technical and metabolic aspects of the technique are reviewed. J. Surg. Oncol. 1999;72:50–56. © 1999 Wiley‐Liss, Inc.