Hepatic resective surgery in cirrhotic patients. Techniques and results of anatomical segmentectomies.

A. Mazziotti, G. L. Grazi, G. Ercolani, E. Jovine, A. Gallucci, F. Pierangeli, P. Fisichella, A. Cavallari

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Abstract

The paper describes the technique of anatomical liver segmentectomies based on the extraparenchymal clamping, at the hepatic hilum, of the afferent vascular pedicles. The resection is started on the liver surface along the demarcation line caused by the ischemia. During parenchymal transection the technique of hemihepatic vascular occlusion has been undertaken. The results obtained with 125 segmentary hepatic resections performed for hepatocellular carcinoma arised on cirrhosis are also reported. The overall operative mortality has been 6.4%. The actuarial 1 and 3 year survivals were 93.3% and 70.4% respectively. Hepatic segmentary resections are recommended for limited hepatic lesions, mainly in well compensated cirrhotic patients.

Original languageEnglish
Pages (from-to)781-790
Number of pages10
JournalAnnali Italiani di Chirurgia
Volume68
Issue number6
Publication statusPublished - Nov 1997

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ASJC Scopus subject areas

  • Surgery

Cite this

Mazziotti, A., Grazi, G. L., Ercolani, G., Jovine, E., Gallucci, A., Pierangeli, F., Fisichella, P., & Cavallari, A. (1997). Hepatic resective surgery in cirrhotic patients. Techniques and results of anatomical segmentectomies. Annali Italiani di Chirurgia, 68(6), 781-790.