5 research outputs found
Total vascular exclusion for liver resections: Pros and cons
Dramatic improvements in morbidity and mortality rates following liver
resections have been reported in the past decade. Consequently, the
indications for hepatectomy are becoming more liberal. Many techniques
of liver resection with or without vascular clamping have been reported
with excellent clinical results. Total vascular exclusion (TVE) of the
liver during parenchymal transection has been advocated susceptible to
increase the resectability of tumors that might not be safely approached
by other techniques. Cirrhotic livers are probably more vulnerable to
ischemic injury related to TVE than normal livers. The indications and
technical and metabolic aspects of the technique are reviewed. (C) 1999
Wiley-Liss, Inc