P G Horgan1, E Leen. 1. Department of Surgery, Glasgow Royal Infirmary, Alexandra Parade, G32 2ER, Scotland, Glasgow, UK. ph9n@clinmed.gla.ac.uk
Abstract
BACKGROUND: Hemorrhage during hepatectomy remains the major cause of morbidity and mortality associated with this surgery. Traditionally, a Pringle technique is employed to reduce vascular inflow during parenchymal transection. METHODS: This paper describes a simple method to achieve unilateral vascular control during hepatic surgery. The technique has been used in the most recent 10 hepatectomies performed in this unit. RESULTS: During the hepatectomies, the pattern of vascular inflow was documented with a series of color Doppler images. These images illustrated the effectiveness of the maneuver.
BACKGROUND:Hemorrhage during hepatectomy remains the major cause of morbidity and mortality associated with this surgery. Traditionally, a Pringle technique is employed to reduce vascular inflow during parenchymal transection. METHODS: This paper describes a simple method to achieve unilateral vascular control during hepatic surgery. The technique has been used in the most recent 10 hepatectomies performed in this unit. RESULTS: During the hepatectomies, the pattern of vascular inflow was documented with a series of color Doppler images. These images illustrated the effectiveness of the maneuver.
Authors: David A Geller; Allan Tsung; Vivek Maheshwari; Lisa A Rutstein; John J Fung; J Wallis Marsh Journal: HPB (Oxford) Date: 2005 Impact factor: 3.647