Coinaud's segmental hepatic resection are rarely performed in western world and generally major resections are preferred. From 1973 to 1987, 83 patients underwent different kinds of segmental resections in our Surgical Department. A transparenchimal approach has been adopted in almost all cases. In 28 patients the hepatic parenchima has been transected during normothermic hepatic ischemia by temporary portal triad crossclamping. In our experience the adoption of Pringle manouvre represents an important technical adjunct in the execution of segmental hepatic resections. The near bloodless operative field makes the identification of the vascular structures easier and safer to be ligated and those to be resected. The procedures are characterized by limited operating time (115 ± 20 minutes), reduced blood losses (570 ± 125 ml in noncirrhotic patients, 1250 ± 490 in cirrhotic patients) and favourable postoperative courses
Belli, L., Romani, F., Del Favero, E., Aseni, P., De Carlis, L., Belli, L., et al. (1988). The use of normothermic ischaemia in segmentary liver resections. CHIRURGIA, 1(2), 99-102.
The use of normothermic ischaemia in segmentary liver resections
De Carlis, L.;Vertemati, M.;
1988
Abstract
Coinaud's segmental hepatic resection are rarely performed in western world and generally major resections are preferred. From 1973 to 1987, 83 patients underwent different kinds of segmental resections in our Surgical Department. A transparenchimal approach has been adopted in almost all cases. In 28 patients the hepatic parenchima has been transected during normothermic hepatic ischemia by temporary portal triad crossclamping. In our experience the adoption of Pringle manouvre represents an important technical adjunct in the execution of segmental hepatic resections. The near bloodless operative field makes the identification of the vascular structures easier and safer to be ligated and those to be resected. The procedures are characterized by limited operating time (115 ± 20 minutes), reduced blood losses (570 ± 125 ml in noncirrhotic patients, 1250 ± 490 in cirrhotic patients) and favourable postoperative courses
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