Experimental studies on resectability of the liver in hemorrhagic shock
Yamazaki, Y.
Nihon Geka Hokan. Archiv für Japanische Chirurgie 51(1): 144-158
1982
ISSN/ISBN: 0003-9152 PMID: 7092461 Document Number: 188233
The resectability of the liver was investigated in dogs with hemorrhagic shock, which was caused by bleeding through the femoral artery and maintained for various lengths ranging from 0-120 min, with or without a hepatectomy. Long survival was limited to within 15 min in shock alone and to 40% hepatectomy immediately after shock. The longer in shock or the greater the extent of removal of the liver, the higher was the mortality rate due to respiratory-circulatory failure during the 1st wk. The causes of death in the 2nd-3rd wk were pneumonia, gastrointestinal bleeding and disseminated intravascular coagulation or multiple organ failures. The indocyanine green maximum removal rate and lipid emulsion tests correlated well with the prognosis.