Volynskiĭ Iu D, Vishnevskiĭ V A, Guseĭnov E K, Adamian A A, Ikramov R Z
Vestn Khir Im I I Grek. 1988 Aug;141(8):33-6.
Preoperative roentgenendovascular occlusion of branches of the hepatic artery was performed in 22 patients with local alterations of the liver. The occlusion was fulfilled with artificial emboli from hydrogel of a spherical and cylindrical form. Metallic spirals were additionally introduced into the artery lumen to 13 patients. All the patients were operated upon 1-10 days after REO (hemihepatectomy or subsegmentary resection of the liver). When using the method of REO the intraoperative blood loss was several times less, not more than 0.35 l.
对22例肝脏局部病变患者进行了术前肝动脉分支的X线血管内闭塞术。用球形和圆柱形水凝胶人工栓子实现闭塞。另外对13例患者在动脉腔内引入了金属螺旋圈。所有患者在X线血管内闭塞术后1 - 10天接受手术(半肝切除术或肝段下切除术)。采用X线血管内闭塞术时,术中失血量减少数倍,不超过0.35升。