Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure
Joint Authors
Orem, Asım
Topaloglu, Serdar
Yesilcicek Calik, Kıymet
Calik, Adnan
Aydın, Coskun
Kocyigit, Sema
Yaman, Huseyin
Karabulut, Erdem
Dohman, Davut
Arslan, Mithat Kerim
Kutanis, Dilek
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-12
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
This retrospective study was designed to investigate the efficacy and safety of intermittent portal triad clamping (PTC) with low central venous pressure (CVP) in liver resections.
Methods.
Between January 2007 and August 2013, 115 patients underwent liver resection with intermittent PTC.
The patients’ data were retrospectively analyzed.
Results.
There were 58 males and 57 females with a mean age of 55 years (±13.7).
Cirrhosis was found in 23 patients.
Resections were performed for malignant disease in 62.6% (n=72) and for benign disease in 37.4% (n=43).
Major hepatectomy was performed in 26 patients (22.4%).
Mean liver ischemia period was 27.1 min (±13.9).
The mortality rate was 1.7% and the morbidity rate was 22.6%.
Cumulative clamping time (t=3.61, P<0.001) and operation time (t=2.38, P<0.019) were significantly correlated with AST alterations (D-AST).
Cumulative clamping time (t=5.16, P<0.001) was significantly correlated with D-ALT.
Operation time (t=5.81, P<0.001) was significantly correlated with D-LDH.
Conclusions.
Intermittent PTC under low CVP was performed with low morbidity and mortality.
Intermittent PTC can be safely applied up to 60 minutes in both normal and impaired livers.
American Psychological Association (APA)
Topaloglu, Serdar& Yesilcicek Calik, Kıymet& Calik, Adnan& Aydın, Coskun& Kocyigit, Sema& Yaman, Huseyin…[et al.]. 2013. Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure. BioMed Research International،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1030340
Modern Language Association (MLA)
Topaloglu, Serdar…[et al.]. Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure. BioMed Research International No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-1030340
American Medical Association (AMA)
Topaloglu, Serdar& Yesilcicek Calik, Kıymet& Calik, Adnan& Aydın, Coskun& Kocyigit, Sema& Yaman, Huseyin…[et al.]. Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1030340
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1030340