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https://hdl.handle.net/2440/10476
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Type: | Journal article |
Title: | Clinical experience with the intrahepatic posterior approach to the portal triad for right hepatectomy and right segmental resection |
Author: | Maddern, G. Manganas, D. Launois, B. |
Citation: | World Journal of Surgery, 1995; 19(5):764-767 |
Publisher: | Springer International |
Issue Date: | 1995 |
ISSN: | 0364-2313 1432-2323 |
Abstract: | An intrahepatic posterior approach to the portal triad has been used over a 2-year period to perform right hepatectomies and right segmental resections in 29 patients (20 men, 9 women; median age 63 years, range 22-82 years). Two resections were palliative for cholangiocarcinomas; the remainder included 9 hepatocellular carcinomas, 12 colorectal metastases, 2 adenomas, 3 cancers of the gallbladder, and one case of chronic hepatic fibrosis. The median operative time was 3 hours 40 minutes (3:40; range 2:20-7:00) with a median period of hepatic ischemia of 87 minutes (range 27-152 minutes). Median blood transfused was 0 unit (range 0-12 units) with only three patients requiring intensive care admission. There was one hospital death. All but one patient was followed up after surgery (median period 24 months; range 1-36 months) at which time there had been three deaths from metastatic disease; the remaining patients were free of clinical recurrence. This operative approach allows minimally resective surgery to be performed safely with excellent short- and medium-term results. |
Keywords: | Portal System Humans Carcinoma, Hepatocellular Cholangiocarcinoma Bile Duct Neoplasms Liver Neoplasms Hepatectomy Hospital Mortality Survival Rate Follow-Up Studies Adult Aged Aged, 80 and over Middle Aged Female Male |
DOI: | 10.1007/BF00295926 |
Published version: | http://dx.doi.org/10.1007/bf00295926 |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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