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https://hdl.handle.net/2440/10476
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dc.contributor.author | Maddern, G. | - |
dc.contributor.author | Manganas, D. | - |
dc.contributor.author | Launois, B. | - |
dc.date.issued | 1995 | - |
dc.identifier.citation | World Journal of Surgery, 1995; 19(5):764-767 | - |
dc.identifier.issn | 0364-2313 | - |
dc.identifier.issn | 1432-2323 | - |
dc.identifier.uri | http://hdl.handle.net/2440/10476 | - |
dc.description.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. | - |
dc.language.iso | en | - |
dc.publisher | Springer International | - |
dc.source.uri | http://dx.doi.org/10.1007/bf00295926 | - |
dc.subject | Portal System | - |
dc.subject | Humans | - |
dc.subject | Carcinoma, Hepatocellular | - |
dc.subject | Cholangiocarcinoma | - |
dc.subject | Bile Duct Neoplasms | - |
dc.subject | Liver Neoplasms | - |
dc.subject | Hepatectomy | - |
dc.subject | Hospital Mortality | - |
dc.subject | Survival Rate | - |
dc.subject | Follow-Up Studies | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Aged, 80 and over | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.title | Clinical experience with the intrahepatic posterior approach to the portal triad for right hepatectomy and right segmental resection | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1007/BF00295926 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Maddern, G. [0000-0003-2064-181X] | - |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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