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Emergency Liver Resection with Staplers for Spontaneous Liver Haemorrhage in a Patient Receiving Anticoagulant Therapy
Joint Authors
Dirican, Abuzer
Yilmaz, Sezai
Kutlutürk, Koray
Unal, Bulent
Kayaalp, Cuneyt
Aydin, Cemalettin
Soyer, Vural
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-14
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Emergency liver resection during active bleeding in a patient who takes anticoagulant therapy is a complicated and high-risk surgery.
Aim.
We described a technique that is combination of staplers, total hepatic vascular occlusion, and hemostatic agent (TachoSil) application for safe and quick hepatectomy.
Patient and Method.
A 72-year-old woman who uses warfarin regularly due to valvuloplasty admitted emergency unit with abdominal pain and shock.
At admission, her hemoglobin, hematocrit, and INR values were 5.2 g/dL, 14.9%, and 6.7, respectively.
Radiologic evaluation revealed abdominal free fluid and a liver lesion on segments V, VI, and VII.
Emergency laparotomy was required.
There was an active bleeding from a liver hematoma that could not be controlled by packing, and an urgent hepatic resection was required.
Under total hepatic vascular occlusion, segments V, VI, and VII were resected with endoscopic nonvascular staplers.
Cut surface of the liver was coagulated with bipolar cautery and covered with a hemostatic material.
Results.
Hepatectomy took six minutes, and the duration of surgery was 80 minutes.
There was no complication and no transfusion required after surgery, and the patient was discharged on 8th day, uneventfully.
Conclusion.
Emergency hepatectomy with staplers, under vascular control with hemostatic agents, provided a rapid and safe surgery.
American Psychological Association (APA)
Kutlutürk, Koray& Soyer, Vural& Dirican, Abuzer& Unal, Bulent& Aydin, Cemalettin& Kayaalp, Cuneyt…[et al.]. 2013. Emergency Liver Resection with Staplers for Spontaneous Liver Haemorrhage in a Patient Receiving Anticoagulant Therapy. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-454216
Modern Language Association (MLA)
Kutlutürk, Koray…[et al.]. Emergency Liver Resection with Staplers for Spontaneous Liver Haemorrhage in a Patient Receiving Anticoagulant Therapy. Case Reports in Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-454216
American Medical Association (AMA)
Kutlutürk, Koray& Soyer, Vural& Dirican, Abuzer& Unal, Bulent& Aydin, Cemalettin& Kayaalp, Cuneyt…[et al.]. Emergency Liver Resection with Staplers for Spontaneous Liver Haemorrhage in a Patient Receiving Anticoagulant Therapy. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-454216
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-454216