PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 2403770

Hepatic resection.

S I Schwartz
View original source ↗Export metadata ↓

Abstract

The current performance and applicability of elective hepatic resection represents an impressive evolution. From removal of tumor-bearing, ill-defined portions of the liver, which is always threatened by the inability to control bleeding, surgery of the liver has progressed to hemostatically controlled dissection of anatomically defined portions of the organ. Accompanying the series of technical refinements that have markedly reduced the mortality and morbidity rates associated with the procedure, there has been an expansion of the indications for hepatic resection.

Explore related subjects

HepatectomyHumansLiverLiver DiseasesJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

S I Schwartz. 1990. Hepatic resection.. https://doi.org/10.1097/00000658-199001000-00001

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1992

Simplified hilar division in controlled right hepatectomy.

Right hepatectomy with preliminary vascular control at the hepatic hilus could be performed not by the method of dividing the structures in the hepatoduodenal ligament separately but instead by simultaneously employing both the hemihepatic vascular control method and the ultrasonic dissector. When applying the tape around the first portal pedicle, the anterior and posterior portal pedicles are easily exposed by using the ultrasonic dissector and, thereafter, ligated and cut; by utilizing this simplified hilar division, hemostasis of the right hepatic lobe can be achieved.

Hepatectomy↗
PubMed1992

Indocyanine green clearance as a predictor of successful hepatic resection in cirrhotic patients.

Twenty-two cirrhotic patients who underwent hepatic resection from July 1989 to March 1991 at Vancouver General Hospital were analyzed prospectively in order to determine whether there was any preoperative evaluation of liver function that would help identify those patients who would not survive hepatic resection. Patients were analyzed on the basis of age, type of resection, and a variety of so-called standard liver function tests. In addition, all patients were evaluated preoperatively with an indocyanine green (ICG) clearance test, a relatively new test that we attempted to evaluate in terms of its role in hepatic resection in cirrhotic patients. Parametric statistical evaluation used included Student's t-test and multivariate regression, as well as discriminate analysis. The nonparametric evaluation used was the Wilcoxon rank sum test. Overall, the 30-day mortality rate was 18%, with those patients who did not survive resection having a significantly lower ICG clearance than those who underwent successful resection (p less than 0.0001). No other liver function test was useful in determining the outcome of resection. Similarly, neither age nor type of resection appeared to influence outcome. Use of discriminate analysis (p = 0.0029) allowed the identification of a cutoff point for ICG clearance below which hepatic resection should not be attempted.

Hepatectomy↗