Surgical Blood Loss
Conditions
Brief summary
This observational study introduced an new advanced bleeding control strategy during complex liver resection.This newly described stepwise vascular control technique was efficacious and feasible to control intra-operative bleeding in complex hepatectomy involving second hepatic hilum and retro-hepatic inferior vena cava.
Interventions
Before liver parenchymal resection, we performed total hepatic vascular preparation for occlusion with portal triad (PT), infra-hepatic inferior vena cava (IIVC), and supra-hepatic inferior vena cava (SIVC) preparation in order. Then we performed step-by-step vascular occlusion according to the individual bleeding situation.
Sponsors
Study design
Eligibility
Inclusion criteria
* tumor size is more than 5cm in diameter; * these tumor were close to or were compressing main hepatic veins and RIVC directly; * Pugh-Child Grade is A or Indocyanine green retention rate at 15min (ICG15%) is less than 10% .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| blood loss during liver resection | duration of operation time |