We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Improvements in Hepatocellular Carcinoma Resection by Intraoperative Ultrasonography and Intermittent Hepatic Inflow Blood Occlusion.
- Authors
Wu, Cheng-Chung; Yang, Mei-Du; Liu, Tse-Jia
- Abstract
From September, 1989, to December, 1990 (late period), intraoperative ultrasonography (IOU) and intermittent hepatic inflow blood occlusion were introduced in hepatectomy. Compared with the early period from January, 1983, to August, 1989, the resectability of hepatocellular carcinoma (HCC) increased from 12.1 to 62.1% (P<0.0001). More resections on cirrhotic patients (P<0.05) and more combined resections with other organs (P<0.005) were carried out. Although the operation time was longer (P<0.01), less blood loss during surgery and fewer perioperative blood transfusions (P<0.001) were found during the late period. Since the rate at which classical resections were performed has reduced (P<0.001), postoperative morbidity has also decreased (P<0.05). Although the surgical mortality did not differ between the two periods, most deaths in the early period were caused by postoperative hepatic failure which was not found in the late period. Since IOU can clarify the intrahepatic vasculature and identify impalpable and invisible tumors, more precise resections can now be carried out. Intermittent hepatic inflow occlusion reduces blood loss during surgery without increasing risk. We suggest both techniques should be mandatory in hepatectomy for HCC in order for the safety range of resections to be broadened.
- Publication
Japanese Journal of Clinical Oncology, 1992, Vol 22, Issue 2, p107
- ISSN
0368-2811
- Publication type
Article