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A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies

Our experience of 90 hepatectomies (HE) and examinations of 64 cadaver livers resulted in the elaboration of a simplified technique for the exposure of hepatic pedicles (HP) and the rapid selective ligation without significant normothermal ischemia of the retained parts of the liver. The method comp...

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Detalles Bibliográficos
Autores principales: Galperin, E. I., Karagiulian, S. R.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 1989
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423514/
https://www.ncbi.nlm.nih.gov/pubmed/2487059
http://dx.doi.org/10.1155/1989/28161
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author Galperin, E. I.
Karagiulian, S. R.
author_facet Galperin, E. I.
Karagiulian, S. R.
author_sort Galperin, E. I.
collection PubMed
description Our experience of 90 hepatectomies (HE) and examinations of 64 cadaver livers resulted in the elaboration of a simplified technique for the exposure of hepatic pedicles (HP) and the rapid selective ligation without significant normothermal ischemia of the retained parts of the liver. The method comprises 4 consecutive steps: 1) a superficial T-shaped incision of Glisson's capsule at the site of HP projection on the liver's inferior surface, 2) introduction of the surgeon's forefinger into the liver parenchyma, controlled by clamping the hepatoduodenal ligament, the fingertip finding a tubular structure well distinguished by its smooth elastic surface from the friable parenchyma and bending the finger to hook the pedicle, 3) drawing the hooked pedicle downwards through the slit in the capsule and temporarily clamping it, while releasing the hepatoduodenal ligament so as to restore blood supply to the retained parts of the liver, 4) checking for correct ligature position on the HP before its final ligation by matching the actual ischemic area with the intended line of resection and moving the clamp proximally or distally along the exposed pedicle for the release or clamping of lateral branches as necessary. Whereupon resection can be performed by any of the known methods. This method has been used in 8 major HE, allowing to reduce intraoperative blood loss from 2200±247 ml to 1000±225 ml and reducing general liver ischemia from 10 minutes and more to 2–3 minutes.
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spelling pubmed-24235142008-07-08 A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies Galperin, E. I. Karagiulian, S. R. HPB Surg Research Article Our experience of 90 hepatectomies (HE) and examinations of 64 cadaver livers resulted in the elaboration of a simplified technique for the exposure of hepatic pedicles (HP) and the rapid selective ligation without significant normothermal ischemia of the retained parts of the liver. The method comprises 4 consecutive steps: 1) a superficial T-shaped incision of Glisson's capsule at the site of HP projection on the liver's inferior surface, 2) introduction of the surgeon's forefinger into the liver parenchyma, controlled by clamping the hepatoduodenal ligament, the fingertip finding a tubular structure well distinguished by its smooth elastic surface from the friable parenchyma and bending the finger to hook the pedicle, 3) drawing the hooked pedicle downwards through the slit in the capsule and temporarily clamping it, while releasing the hepatoduodenal ligament so as to restore blood supply to the retained parts of the liver, 4) checking for correct ligature position on the HP before its final ligation by matching the actual ischemic area with the intended line of resection and moving the clamp proximally or distally along the exposed pedicle for the release or clamping of lateral branches as necessary. Whereupon resection can be performed by any of the known methods. This method has been used in 8 major HE, allowing to reduce intraoperative blood loss from 2200±247 ml to 1000±225 ml and reducing general liver ischemia from 10 minutes and more to 2–3 minutes. Hindawi Publishing Corporation 1989 /pmc/articles/PMC2423514/ /pubmed/2487059 http://dx.doi.org/10.1155/1989/28161 Text en Copyright © 1989 Hindawi Publishing Corporation. http://creativecommons.org/licenses/by/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Galperin, E. I.
Karagiulian, S. R.
A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies
title A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies
title_full A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies
title_fullStr A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies
title_full_unstemmed A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies
title_short A new Simplified Method of Selective Exposure of Hepatic Pedicles for Controlled Hepatectomies
title_sort new simplified method of selective exposure of hepatic pedicles for controlled hepatectomies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423514/
https://www.ncbi.nlm.nih.gov/pubmed/2487059
http://dx.doi.org/10.1155/1989/28161
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