Buerk C A, Putnam C W, Starzl T E
Surg Gynecol Obstet. 1977 Jun;144(6):853-4.
Although other reports have stressed the inevitability of portal hypertension and splanchnic pooling following major liver resections, clinical observations during 30 major hepatic resections and measurements of portal pressure in three consecutive trisegmentectomies fail to support this contention. If the remaining liver is normal and careful anatomic dissection is used, major resections can be performed without inducing portal hypertension.
尽管其他报告强调了大型肝切除术后门静脉高压和内脏充血的必然性,但在30例大型肝切除术中的临床观察以及连续3例三段肝切除术中门静脉压力的测量结果均不支持这一观点。如果剩余肝脏正常且采用仔细的解剖分离,那么进行大型切除手术时可以不诱发门静脉高压。