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Original article

Causes and surgical treatments of intraoperative massive haemorrhage in operation for primary liver cancer

  • LIU Pengfei ,
  • LIU Kai ,
  • YE Chun ,
  • XU Wen
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  • 1.Department of General Surgery,Tongji Hospital Affiliated to Tongji University, Shanghai 200065,China;
    2.Depatment of Radiology,Shanghai Ouyang Hospital,Shanghai 200081,China

Received date: 2017-02-06

  Online published: 2019-12-11

Abstract

Objective To analyze common causes and corresponding treatments of massive haemorrhage in the operation for primary liver cancer.Methods Based on 14 cases of primary liver cancer with intraoperative massive haemorrhage,we summarized possible causes of intraoperative massive haemorrhage.Results Damages to hepatic short vein (5 cases),inferior vena cava (1 case),and right hepatic vein (2 cases) occurred during the separation of liver cancer.Damages to large intrahepatic venous branches (6 cases) occurred during hepatecomy.Conclusion Operation plans help avoid damages during the resection of large tumors in right liver and middle liver.In addition,ligating under direct vision (or after hepatic blood occlusion) rather than random clamp is recommended for intraoperative massive haemorrhage.

Cite this article

LIU Pengfei , LIU Kai , YE Chun , XU Wen . Causes and surgical treatments of intraoperative massive haemorrhage in operation for primary liver cancer[J]. Surgical Research and New Technique, 2017 , 6(3) : 152 -154 . DOI: 10.3969/j.issn.2095-378X.2017.03.002

References

[1] Smyrniotis V,Farantos C,Kostopanagiotou G,et al.Vascular control during hepatectomy:review of methods and results[J].World J Surg,2005,29(11):1384-1396.
[2] Dixon E,Vollmer CM,Bathe OF,et al.Vascular occlusion to decrease blood loss during hepatic resection[J].Am J Surg,2005,190(1):75-86.
[3] Qian NS,Liao YH,Cai SW,et al.Comprehensive application of modern technologies in precise liver resection[J].Hepatobiliary Pancreat Dis Int,2013,12(3):244-250.
[4] Ni JS,Lau WY,Yang Y,et al.A prospective randomized controlled trial to compare pringle manoeuvre with hemi-hepatic vascular inflow occlusion in liver resection for hepatocellular carcinoma with cirrhosis[J].J Gastrointest Surg,2013,17(8):1414-1421.
[5] Takasaki K.Glissonean pedicle transection method for hepatic resection:a new concept of liver segmentation[J].J Hepato-biliary Pancreat Surg,1998,5(3):286-291.
[6] Fu SY,Lau WY,Li GG,et al.A prospective randomized controlled trial to compare Pringle maneuver,hemihepatic vascular inflow occlusion,and main portal vein inflow occlusion in partial hepatectomy[J].Am J Surg,2011,201(1):62-69.
[7] Yamamoto M,Takasaki K,Ohtsubo T,et al.Effectiveness of systematized hepatectomy with Glisson’s pedicle transection at the hepatic hilus for small nodular hepatocellular carcinoma:retrospective analysis[J].Surgery,2001,130(3):443-448.
[8] Figueras J,Lopez-Ben S,Lladó L,et al.Hilar dissection versus the “glissonean” approach and stapling of the pedicle for major hepatectomies:a prospective,randomized trial[J].Ann Surg,2003,238(1):111-119.
[9] 吴伟顶,胡志明,赵大建,等.选择性出入肝血流阻断在巨大肝癌肝切除术中的应用[J].中华消化外科杂志,2012,11(6):514-516.
[10] Dimick JB,Pronovost PJ,Cowan JA,et al.Postoperative complication rates after hepatic resection in Maryland hospitals[J].Arch Surg,2003,138(1):41-46.
[11] 王林.血流阻断技术在肝切除术中的应用[J].肝癌电子杂志,2015,2(1):22-24.
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