أعرض في EDS

Treatment for accidental occlusion of the hepatic artery after hepatic resection: Report of two cases

التفاصيل البيبلوغرافية
العنوان: Treatment for accidental occlusion of the hepatic artery after hepatic resection: Report of two cases
المؤلفون: Kenji Kihara, Takashi Aikou, Shinichi Ueno, Gen Tanabe, Shingo Hirata, Kouichi Kawaida, Makoto Maemura, Masahiro Hamanoue
المصدر: Surgery Today. 29:268-272
بيانات النشر: Springer Science and Business Media LLC, 1999.
سنة النشر: 1999
مصطلحات موضوعية: Male, medicine.medical_specialty, Carcinoma, Hepatocellular, Cirrhosis, Portal venous pressure, Constriction, Pathologic, Cholangiocarcinoma, Liver disease, Hepatic Artery, Postoperative Complications, Hepatectomy, Humans, Medicine, Artery occlusion, Vein, Liver injury, Fibrous capsule of Glisson, medicine.diagnostic_test, business.industry, Liver Neoplasms, General Medicine, Middle Aged, medicine.disease, Surgery, Radiography, Bile Ducts, Intrahepatic, medicine.anatomical_structure, Bile Duct Neoplasms, Female, business, Liver function tests, Aneurysm, False
الوصف: Two patients in whom accidental hepatic artery occlusion (HAO) occurred after hepatic resection (Hx) were reported. A 59-year-old female who underwent Hx for hepatocellular carcinoma with underlying liver cirrhosis developed HAO on postoperative day (POD) 14 and died of hepatic failure on POD 23. The autopsy findings showed multiple necrosis in the remnant liver and an extraluminal hematoma of the hepatic artery, suggesting an injury caused by Pringle's maneuver. The second case was a 53-year-old male who underwent Hx for cholangiocarcinoma without any underlying liver disease. He developed HAO on POD 6, and radiological studies indicated a pseudoaneurysma formation and severe stenosis of the hepatic artery. It was speculated that the cause of the HAO was intraluminal injury of the hepatic artery during an angiographic study conducted prior to Hx. Partial arterialization of the portal vein was performed, following which his liver function test results improved. In both cases, measuring the serum hepatocyte growth factor level and the hepatic vein oxygen saturation proved useful, not only for determining the degree of liver injury, but also for predicting the outcome after treatments for HAO. Furthermore, the partial arterialization of the portal vein for HAO after Hx may rescue the normal remnant liver.
تدمد: 1436-2813
0941-1291
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f821ecf1d19ff12ec024e8d61197b5ca
https://doi.org/10.1007/bf02483020
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....f821ecf1d19ff12ec024e8d61197b5ca
قاعدة البيانات: OpenAIRE
الوصف
تدمد:14362813
09411291