Modified normothermic avascular hepatic resection
Cao, X.H.; Huang, J.F.
Zhonghua Zhong Liu Za Zhi 13(1): 46-48
1991
ISSN/ISBN: 0253-3766 PMID: 1653691 Document Number: 374745
The conventional Heaney's avascular hepatic resection was modified based on an experimental study on normothermic total hepatic vascular exclusion in dog. The modification was cancellation of simultaneous exclusion of the abdominal aorta and proper prolongation of total hepatic vascular exclusion time. The method was successfully used in 3 patients, 2 with primary hepatocellular carcioma involving the second porta hepatis and 1 with a huge hepatic cavernous hemangioma in segments VII and VIII. The clinical application of this method is presented and discussed. The modified Heaney's technique, being simpler and safer than the conventional one, may increase the resection rate for central hepatic tumors (segments, I, IV, V and VIII according to Couinaud's classification).