Hepatic resection

Balasegaram, Manica

doi:10.1002/bjs.1800550303

Cited by 17 publications

(7 citation statements)

References 15 publications

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“…In 1870, Burns resected a lacerated portion of the liver after a gunshot wound, and in 1879, Buckhardt used packing to arrest hemorrhage from a liver injury (14). In 1885, a formal laparotomy was performed to remove a bullet from the right lobe of the liver and the patient made excellent recovery (5).…”

Section: Livermentioning

confidence: 99%

Nonoperative management of solid abdominal organ injuries: From past to present

Leppäniemi

2019

Scand J Surg

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Background and aims: today, a significant proportion of solid abdominal organ injuries, whether caused by penetrating or blunt trauma, are managed nonoperatively. However, the controversy over operative versus nonoperative management started more than a hundred years ago. the aim of this review is to highlight some of the key past observations and summarize the current knowledge and guidelines in the management of solid abdominal organ injuries. Materials and Methods: a non-systematic search through historical articles and references on the management practices of abdominal injuries was conducted utilizing early printed volumes of major surgical and medical journals from the late 19th century onwards. Results: until the late 19th century, the standard treatment of penetrating abdominal injuries was nonoperative. the first article advocating formal laparotomy for abdominal gunshot wounds was published in 1881 by sims. after World War i, the policy of mandatory laparotomy became standard practice for penetrating abdominal trauma. during the latter half of the 20th century, the concept of selective nonoperative management, initially for anterior abdominal stab wounds and later also gunshot wounds, was adopted by major trauma centers in south africa, the united states, and little later in europe. in blunt solid abdominal organ injuries, the evolution from surgery to nonoperative management in hemodynamically stable patients aided by the development of modern imaging techniques was rapid from 1980s onwards. Conclusion: With the help of modern imaging techniques and adjunctive radiological and endoscopic interventions, a major shift from mandatory to selective surgical approach to solid abdominal organ injuries has occurred during the last 30-50 years.

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Section: Livermentioning

confidence: 99%

Nonoperative management of solid abdominal organ injuries: From past to present

Leppäniemi

2019

Scand J Surg

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“…The overall mortality in this series was 18.4%, similar to other reported experience. 3,8 The primary objective of surgery in liver injury is to control hemorrhage, and the operative management can be considered stepwise in ascending order of severity of injury. Fortunately, in the majority of liver injuries, adequate hemostasis can be achieved by approximation of the lacerated liver edges by deep catgut sutures, and this is usually successful in grade I and II injuries.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of these mechanisms of injury varies considerably in differing societies. 3 Hemorrhage is the predominant cause of death in liver injury, and the primary aim of surgical management is to control bleeding from the damaged liver. Many techniques have been advocated to manage such patients, and opinion varies concerning these different methods.…”

mentioning

confidence: 99%

Patterns and Management of Liver Trauma in Riyadh Central Hospital

Al-Kraida

1988

Ann Saudi Med

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A retrospective study is presented of all patients undergoing laparotomy for liver trauma during a one-year period at the Riyadh Central Hospital. The total number of patients was 38, the majority (36) were men between 21 and 30 years old. Blunt abdominal trauma from road traffic accidents was the predominant cause in 36 patients (95%), and two patients (5%) suffered penetrating injury from gunshot wounds. Associated injury of other organs or systems frequently accompanied the blunt abdominal trauma and was responsible for mortality in four patients. Three patients with extensive liver damage as well as juxtahepatic injury to the hepatic veins or inferior vena cava died from major hemorrhage. The overall mortality was 18.4%. The majority of liver injuries can be managed surgically by simple suture techniques. A scheme for the surgical management of liver trauma is outlined.AA Al-Kraida, Patterns and Management of Liver Trauma in Riyadh Central Hospital. 1988; 8(1): 25-28 MeSH

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“…Since the early report of anatomic hepatic resection (right hepatectomy) in Europe by Lortat-Jacob and Robert in 1952 [1], it has evolved extensively with improved outcomes. Most innovations have been to prevent massive hemorrhage, a major cause of death during the early postoperative period entailing a mortality rate of from 25% to 30% [2][3][4][5]. With a better understanding of hepatic anatomy and physiology, including advancements radiology, pharmacology, and anesthesiology; this high mortality has declined to contemporary rate of less than 5% [6][7][8][9].…”

Section: Brief Communication (Original)mentioning

confidence: 99%

Hepatic resection using ultrasonic surgical aspirator

Sriussadaporn

Pak‐art

et al. 2015

Asian Biomedicine

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Background Hepatic resections conducted for malignant tumors can be difficult because of the need to create cancer-free margins. Objectives To examine the outcome of hepatic resections after the introduction of a Cavitron Ultrasonic Surgical Aspirator (CUSA). Methods A retrospective study of patients who underwent hepatic resection by a single surgeon between April 1999 to March 2013. Results We included 101 patients with 104 hepatectomies. Most hepatic parenchymal transections were performed using a CUSA under intermittent hepatic inflow occlusion (Pringle maneuver). Thirty-five patients underwent a right hepatectomy, 11 a left hepatectomy, 6 a right hepatectomy and segment I resection, 6 a right lobectomy, and 46 underwent segmentectomies, wedge resections, or other types of hepatic resections. Biliary-enteric reconstruction with a Roux-en-Y limb of the jejunum to a hepatic duct of the hepatic remnant was performed in 28 patients. Operative time was 90–720 min (median 300 min, mean 327 ± 149 min). Operative blood transfusion was 0–17 units (median 3 units, mean 3.9 ± 3.6 units). Twenty-one hepatectomies were conducted without blood transfusion. Thirty-four postoperative complications occurred in 30 patients with a 9% reoperation rate. Perioperative mortality was 6%. Age, operative time, operative blood transfusion, reoperation, and complications were significantly associated with mortality. Conclusion Careful preoperative diagnosis and evaluation of patients, faultless surgical techniques, and excellent postoperative care are important to avoid potentially serious postoperative complications and mortality. The CUSA is an effective assisting device during hepatic parenchymal transection with a concomitant Pringle maneuver, apparently reducing operative blood loss.

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Hepatic resection

Cited by 17 publications

References 15 publications

Nonoperative management of solid abdominal organ injuries: From past to present

Nonoperative management of solid abdominal organ injuries: From past to present

Patterns and Management of Liver Trauma in Riyadh Central Hospital

Hepatic resection using ultrasonic surgical aspirator

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