Alternate hemihepatic vascular control technique for hepatic resection

Am J Surg. 1993 Mar;165(3):365-6. doi: 10.1016/s0002-9610(05)80845-1.

Abstract

This report describes a simple and improved inflow control technique for resection of a hepatic tumor that lies across the right and left hepatic lobes. With alternate hemihepatic inflow control by en masse occlusion of Glisson's sheath of each hemipedicle at the bifurcation, hepatic resection across the two hepatic lobes is completed. Compared with Pringle's maneuver, this technique eliminates splanchnic congestion and reduces warm ischemia of the remnant liver, while maintaining a comparable hemostatic effect.

MeSH terms

  • Humans
  • Infant, Newborn
  • Liver / blood supply
  • Liver / surgery*
  • Liver Neoplasms / surgery*
  • Methods