Mansvelt B, Bertrand C, Versaille H, Nokerman P, Etienne P, de Neve de Roden A
Department of digestive surgery, Hôpital de Jolimont, Haine Saint Paul, Belgium.
Acta Chir Belg. 1999 Aug;99(4):159-62.
Between March 1992 and May 1995, 14 hepatic resections under total vascular exclusion were performed (10 major resections and 4 minor resections involving central segments). Mean age was 64 years (SD +/- 12). During hepatic resection, 4 patients required blood transfusion. The reason was a too low level of haemoglobin (< 10 gr/100 ml) to undergo Hepatic Vascular Exclusion (HVE) (1 patient), an unacceptable decrease in blood pressure following HVE leading to insertion of venovenous bypass (1 patient), or an extensive bleeding following removal of the clamps (2 patients). The 10 remaining patients did not need peroperative blood transfusion. Two patients were transfused after the 6th postoperative day. Complications usually described during HVE were not encountered except for one pleural effusion needing thoracocentesis.
1992年3月至1995年5月期间，共进行了14例全肝血流阻断下的肝切除术（10例大手术切除和4例涉及肝中央段的小手术切除）。平均年龄为64岁（标准差±12）。肝切除术中，4例患者需要输血。原因分别是血红蛋白水平过低（<10克/100毫升）无法进行肝血流阻断（1例患者）、肝血流阻断后血压下降至无法接受程度导致需插入静脉-静脉旁路（1例患者）或松开血管夹后出现大量出血（2例患者）。其余10例患者术中无需输血。2例患者在术后第6天之后接受了输血。除了1例需要胸腔穿刺抽液的胸腔积液外，未出现肝血流阻断过程中常见的并发症。
