Hepatectomy with the Pringle Maneuver Exceeding 60 Minutes in Patients with Mild Liver Cirrhosis
경변합병간세포암의 간절제시 60분 이상 지속 Pringle법의 경험
왕, 희정; 손, 우영; 유, 석진; 김, 명욱
Taehan Oekwa Hakhoe, 50(4):597-601, 1996
Taehan Oekwa Hakhoe; 대한외과학회지
Massive bleeding during hepatectomy often results in serious consequences, particularly in patients with cirrhosis. To minimize hemorrhage, it would seem reasonable to occlude vascular inflow for as long as needed. We treated three patients with
advanced hepatocellular carcinoma in association with early stage of liver cirrhosis using the "uninterrupted" Pringle manuever for more than one hour. The tolerance of a cirrhotic liver to long-term warm ischemia is discussed.
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