| Item type |
学内発行雑誌 / Departmental Bulletin Paper(1) |
| 公開日 |
2019-08-05 |
| タイトル |
|
|
タイトル |
Feasibility of Precoagulation Without the Pringle Maneuver for Endoscopic Hepatectomy of Cirrhotic Liver |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ |
departmental bulletin paper |
| 著者 |
TASHIRO, Yoshihiko
AOKI, Takeshi
MATSUDA, Kazuhiro
KOIZUMI, Tomotake
KUSANO, Tomokazu
YAMADA, Kosuke
NOGAKI, Koji
WADA, Yusuke
HAKOZAKI, Tomoki
GOTO, Satoru
FUJIMORI, Akira
ENAMI, Yuta
WATANABE, Makoto
OTSUKA, Koji
MURAKAMI, Masahiko
|
| 書誌情報 |
The Showa University journal of medical sciences
巻 30,
号 3,
p. 409-416,
発行日 2018-09
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Various methods, devices, and techniques have been developed to improve safety during laparoscopic hepatectomy procedures. Among these, the Pringle maneuver （PM） is widely used to minimize blood loss during liver transections; however, the risk of ischemic injury associated with this technique is increased by poor hepatic reserve and regeneration dysfunction secondary to liver cirrhosis. This retrospective study evaluated the short-term outcomes and feasibility of precoagulation for endoscopic hepatectomy without PM in patients with liver cirrhosis. Eleven patients with liver cirrhosis who also underwent endoscopic hepatectomy for hepatocellular carcinoma were recruited to undergo either microwave tissue coagulation or radiofrequency ablation for precoagulation before liver transection. A wedge resection without the PM was performed in all patients, with seven patients selected for bipolar radiofrequency ablation and four patients for microwave coagulation therapy. The procedures included video-assisted thoracoscopic hepatectomy in two patients and laparoscopic hepatectomy in nine patients. One patient who underwent radiofrequency ablation developed postoperative bleeding （Clavien-Dindo grade Ⅲ）. In conclusion, precoagulation can help to minimize intraoperative blood loss without the PM, contributing to effective resection of liver tumors. We propose that precoagulation could serve as a standard technique for endoscopic hepatectomy in patients with cirrhosis. |
| DOI |
|
|
|
関連識別子 |
10.15369/sujms.30.409 |
| 出版者 |
|
|
出版者 |
Showa University Society |
| ISSN |
|
|
収録物識別子 |
0915-6380 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
S30_409.pdf (348.2 kB)
