The main indications and techniques for vascular exclusion of the liver

Detalhes bibliográficos
Autor(a) principal: Chaib,Eleazar
Data de Publicação: 2003
Outros Autores: Saad,William Abrão, Fujimura,Ikurou, Saad Jr.,Willian Abrão, Gama-Rodrigues,Joaquim
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de gastroenterologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032003000200013
Resumo: BACKGROUND: The purpose of vascular clamping during the course of liver resection is to reduce bleeding and subsequent complications. AIM: To show both step-by-step surgical techniques for vascular exclusion of the liver and their indications. METHODS: It is described the following techniques: clamping of the hepatic pedicle, ''Pringle'' maneuver; intermittent clamping of the hepatic pedicle; intermittent vascular exclusion of the liver, without vena cava clamping, and hepatic vascular exclusion with vena cava clamping. Also metabolic and homodynamic consequences as well as the technical failure of the application of each of them are discussed. CONCLUSIONS: The choice of technique to use for clamping during hepatectomy depends on the surgeon's judgment. Dogmatic or systematic attitude, is prejudiciable for the patient and liver surgeon must be able to use all kinds of clamping.
id IBEPEGE-1_5fe36df115aefac147df7ea20a1d30c4
oai_identifier_str oai:scielo:S0004-28032003000200013
network_acronym_str IBEPEGE-1
network_name_str Arquivos de gastroenterologia (Online)
repository_id_str
spelling The main indications and techniques for vascular exclusion of the liverHepatectomyConstrictionLiver circulationHemostasis, surgicalBACKGROUND: The purpose of vascular clamping during the course of liver resection is to reduce bleeding and subsequent complications. AIM: To show both step-by-step surgical techniques for vascular exclusion of the liver and their indications. METHODS: It is described the following techniques: clamping of the hepatic pedicle, ''Pringle'' maneuver; intermittent clamping of the hepatic pedicle; intermittent vascular exclusion of the liver, without vena cava clamping, and hepatic vascular exclusion with vena cava clamping. Also metabolic and homodynamic consequences as well as the technical failure of the application of each of them are discussed. CONCLUSIONS: The choice of technique to use for clamping during hepatectomy depends on the surgeon's judgment. Dogmatic or systematic attitude, is prejudiciable for the patient and liver surgeon must be able to use all kinds of clamping.Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. 2003-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032003000200013Arquivos de Gastroenterologia v.40 n.2 2003reponame:Arquivos de gastroenterologia (Online)instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiainstacron:IBEPEGE10.1590/S0004-28032003000200013info:eu-repo/semantics/openAccessChaib,EleazarSaad,William AbrãoFujimura,IkurouSaad Jr.,Willian AbrãoGama-Rodrigues,Joaquimeng2004-01-16T00:00:00Zoai:scielo:S0004-28032003000200013Revistahttp://www.scielo.br/aghttps://old.scielo.br/oai/scielo-oai.php||secretariaarqgastr@hospitaligesp.com.br1678-42190004-2803opendoar:2004-01-16T00:00Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiafalse
dc.title.none.fl_str_mv The main indications and techniques for vascular exclusion of the liver
title The main indications and techniques for vascular exclusion of the liver
spellingShingle The main indications and techniques for vascular exclusion of the liver
Chaib,Eleazar
Hepatectomy
Constriction
Liver circulation
Hemostasis, surgical
title_short The main indications and techniques for vascular exclusion of the liver
title_full The main indications and techniques for vascular exclusion of the liver
title_fullStr The main indications and techniques for vascular exclusion of the liver
title_full_unstemmed The main indications and techniques for vascular exclusion of the liver
title_sort The main indications and techniques for vascular exclusion of the liver
author Chaib,Eleazar
author_facet Chaib,Eleazar
Saad,William Abrão
Fujimura,Ikurou
Saad Jr.,Willian Abrão
Gama-Rodrigues,Joaquim
author_role author
author2 Saad,William Abrão
Fujimura,Ikurou
Saad Jr.,Willian Abrão
Gama-Rodrigues,Joaquim
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Chaib,Eleazar
Saad,William Abrão
Fujimura,Ikurou
Saad Jr.,Willian Abrão
Gama-Rodrigues,Joaquim
dc.subject.por.fl_str_mv Hepatectomy
Constriction
Liver circulation
Hemostasis, surgical
topic Hepatectomy
Constriction
Liver circulation
Hemostasis, surgical
description BACKGROUND: The purpose of vascular clamping during the course of liver resection is to reduce bleeding and subsequent complications. AIM: To show both step-by-step surgical techniques for vascular exclusion of the liver and their indications. METHODS: It is described the following techniques: clamping of the hepatic pedicle, ''Pringle'' maneuver; intermittent clamping of the hepatic pedicle; intermittent vascular exclusion of the liver, without vena cava clamping, and hepatic vascular exclusion with vena cava clamping. Also metabolic and homodynamic consequences as well as the technical failure of the application of each of them are discussed. CONCLUSIONS: The choice of technique to use for clamping during hepatectomy depends on the surgeon's judgment. Dogmatic or systematic attitude, is prejudiciable for the patient and liver surgeon must be able to use all kinds of clamping.
publishDate 2003
dc.date.none.fl_str_mv 2003-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032003000200013
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032003000200013
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-28032003000200013
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
dc.source.none.fl_str_mv Arquivos de Gastroenterologia v.40 n.2 2003
reponame:Arquivos de gastroenterologia (Online)
instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron:IBEPEGE
instname_str Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron_str IBEPEGE
institution IBEPEGE
reponame_str Arquivos de gastroenterologia (Online)
collection Arquivos de gastroenterologia (Online)
repository.name.fl_str_mv Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
repository.mail.fl_str_mv ||secretariaarqgastr@hospitaligesp.com.br
_version_ 1754193342931927040

Registros relacionados