Back-flow bleeding control during resection of right-sided liver tumors by means of ultrasound-guided finger compression of the right hepatic vein at its caval confluence

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Abstract

Background/Aims: Limiting the backflow bleeding from the hepatic veins is a priority in liver resections. We describe an ultrasound-guided technique for backflow bleeding control from the right hepatic vein (RHV) during right-sided liver resection. Methodology: Right surface of the extrahepatic RHV is exposed to allow its compression by surgeon's finger-tips: the effectiveness of finger compression is checked by color-Doppler intraoperative ultrasonography. Results: This technique was adopted in 47 consecutive patients with tumors located in the right segments and not infiltrating the RHV close to its caval confluence. There was no hospital mortality or major morbidity. Mean blood loss was 310mL, and 4 patients required blood transfusion. The maneuver here described was used 2.3 times per patients, and taping of the RHV was never needed. Conclusions: The technique here described allows easy and safe control of the RHV patency without its skeletonization and encirclement.

Original languageEnglish
Pages (from-to)1364-1367
Number of pages4
JournalHepato-Gastroenterology
Volume54
Issue number77
Publication statusPublished - Jul 2007

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Venae Cavae
Hepatic Veins
Fingers
Hemorrhage
Liver
Neoplasms
Doppler Color Ultrasonography
Patient Rights
Hospital Mortality
Blood Transfusion
Morbidity

Keywords

  • Liver tumors, therapy
  • Liver, neoplasms
  • Liver, surgery
  • Ultrasonography, intraoperative

ASJC Scopus subject areas

  • Gastroenterology

Cite this

@article{74006ada7d174211bcbbdd713b914cef,
title = "Back-flow bleeding control during resection of right-sided liver tumors by means of ultrasound-guided finger compression of the right hepatic vein at its caval confluence",
abstract = "Background/Aims: Limiting the backflow bleeding from the hepatic veins is a priority in liver resections. We describe an ultrasound-guided technique for backflow bleeding control from the right hepatic vein (RHV) during right-sided liver resection. Methodology: Right surface of the extrahepatic RHV is exposed to allow its compression by surgeon's finger-tips: the effectiveness of finger compression is checked by color-Doppler intraoperative ultrasonography. Results: This technique was adopted in 47 consecutive patients with tumors located in the right segments and not infiltrating the RHV close to its caval confluence. There was no hospital mortality or major morbidity. Mean blood loss was 310mL, and 4 patients required blood transfusion. The maneuver here described was used 2.3 times per patients, and taping of the RHV was never needed. Conclusions: The technique here described allows easy and safe control of the RHV patency without its skeletonization and encirclement.",
keywords = "Liver tumors, therapy, Liver, neoplasms, Liver, surgery, Ultrasonography, intraoperative",
author = "Guido Torzilli and Matteo Donadon and Angela Palmisano and {Del Fabbro}, Daniele and Antonino Spinelli and Masatoshi Makuuchi and Marco Montorsi",
year = "2007",
month = "7",
language = "English",
volume = "54",
pages = "1364--1367",
journal = "Acta hepato-splenologica",
issn = "0172-6390",
publisher = "H.G.E. Update Medical Publishing Ltd.",
number = "77",

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TY - JOUR

T1 - Back-flow bleeding control during resection of right-sided liver tumors by means of ultrasound-guided finger compression of the right hepatic vein at its caval confluence

AU - Torzilli, Guido

AU - Donadon, Matteo

AU - Palmisano, Angela

AU - Del Fabbro, Daniele

AU - Spinelli, Antonino

AU - Makuuchi, Masatoshi

AU - Montorsi, Marco

PY - 2007/7

Y1 - 2007/7

N2 - Background/Aims: Limiting the backflow bleeding from the hepatic veins is a priority in liver resections. We describe an ultrasound-guided technique for backflow bleeding control from the right hepatic vein (RHV) during right-sided liver resection. Methodology: Right surface of the extrahepatic RHV is exposed to allow its compression by surgeon's finger-tips: the effectiveness of finger compression is checked by color-Doppler intraoperative ultrasonography. Results: This technique was adopted in 47 consecutive patients with tumors located in the right segments and not infiltrating the RHV close to its caval confluence. There was no hospital mortality or major morbidity. Mean blood loss was 310mL, and 4 patients required blood transfusion. The maneuver here described was used 2.3 times per patients, and taping of the RHV was never needed. Conclusions: The technique here described allows easy and safe control of the RHV patency without its skeletonization and encirclement.

AB - Background/Aims: Limiting the backflow bleeding from the hepatic veins is a priority in liver resections. We describe an ultrasound-guided technique for backflow bleeding control from the right hepatic vein (RHV) during right-sided liver resection. Methodology: Right surface of the extrahepatic RHV is exposed to allow its compression by surgeon's finger-tips: the effectiveness of finger compression is checked by color-Doppler intraoperative ultrasonography. Results: This technique was adopted in 47 consecutive patients with tumors located in the right segments and not infiltrating the RHV close to its caval confluence. There was no hospital mortality or major morbidity. Mean blood loss was 310mL, and 4 patients required blood transfusion. The maneuver here described was used 2.3 times per patients, and taping of the RHV was never needed. Conclusions: The technique here described allows easy and safe control of the RHV patency without its skeletonization and encirclement.

KW - Liver tumors, therapy

KW - Liver, neoplasms

KW - Liver, surgery

KW - Ultrasonography, intraoperative

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