Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2023, Cilt: 9 Sayı: 3, 461 - 467, 04.05.2023
https://doi.org/10.18621/eurj.1091092

Öz

Kaynakça

  • 1. Langman J. Medical embryology, ed 3. Baltimore, Williams & Wilkins. 1975.
  • 2. Heloury Y, Leborgne J, Rogez JM, Robert R, Barbin JY, Hureau J. The caudate lobe of the liver. Surg Radiol Anat 1988;10:83-91.
  • 3. Lortat-Jacob JL, Robert HG. Un cas d’hépatectomie droite réglée. Mem Acad Chir 1952;78:224-52.
  • 4. Couinaud C. Le foie, études anatomiques et chirurgicales, Paris, Masson. 1957.
  • 5. Dindo D, Demartines N, Clavien PA. Classification of surgical complications : a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-13.
  • 6. Makuuchi M, Hasegawa H, Yamazaki S, Takayasu K. Four new hepatectomy procedures for resection of the right hepatic vein and preservation of the inferior right hepatic vein. Surg Gynecol Obstet 1987;164:68-72
  • 7. Morjane A, Dahmane R, Ravnik D, Hribernik M. Anatomy and surgical relevance of the hepato-caval ligament. A study on cadaveric livers. Cells Tissues Organs 2008;187:243-6.
  • 8. Gadžijev E, Stanisavljević RD, Trotovšek B. Venous drainage of the dorsal sector of the liver: differences between segments I and IX. A study on corrosion casts of the human liver. Surg Radiol Anat 1997;19:79-83.
  • 9. Mackenzie S, Dixon E, Bathe O, Sutherland F. Intermittent hepatic vein – total vascular exclusion during liver resection: anatomic and clinical studies. J Gastrointest Surg 2005;9:658-66.
  • 10. Rosset E, Brunet C, Meunier B, Marie PA, DiMarino V, Argeme M, et al. Anatomic basis of the liver for the development of a perihepatic prosthesis. Surg Radiol Anat 1995;17:1-5.
  • 11. Melendez JA, Arslan V, Fischer ME, Wuest D, Jarnagin WR, Fong Y, et al. Periopera tive outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfu- sion, and the risk of postoperative renal dysfunction. J Am Coll Surg 1998;187:620-5.
  • 12. Correa-Gallego C, Gonen M, Fischer M, Grant F, Kemeny NE, Arslan-Carlon V, et al. Perioperative complications influence recur- rence and survival after resection of hepatic colorectal metastases. Ann Surg Oncol 2013;20:2477-84.
  • 13. Amato A, Pescatori M. Perioperative blood trans- fusions for the recurrence of colorectal cancer. Cochrane Database Syst Rev 2006;1:CD005033.
  • 14. Kooby DA, Stockman J, Ben-Porat L, Gonen M, Jarnagin WR, Dematteo RP, et al. Influence of transfusions on perioperative and long-term outcome in patients following hepatic resection for colorectal metastases. Ann Surg 2003;237:860-9.
  • 15. Ramacciato G, Balesh AM, Fornasari V. Vascular endostapler as an aid to hepatic vein control during hepatic resections. Am J Surg 1996;172:358-62.
  • 16. Dudeja V, Jarnagin W. Massive Intraoperative Hemorrhage During Hepato-Biliary and Pancreatic Surgery. In: Pawlik T, Maithel S, Merchant N. (eds) Gastrointestinal Surgery. Springer:New York, NY. 2015: pp. 201-15.

Comparing the closure of hepatocaval ligament using stapler or suturing in liver surgery

Yıl 2023, Cilt: 9 Sayı: 3, 461 - 467, 04.05.2023
https://doi.org/10.18621/eurj.1091092

Öz

Objectives: Hepatocaval ligament is localized on the posterior and lateral side of the retrohepatic Inferior Vena Cava (IVC) , above the right adrenal vein. Bleeding due to retro-hepatic cava injury could sometimes occur during the dissection and closure of hepatocaval ligament (HCL). We aim to determine closing meth- ods of HCL in terms of cost, ease of application and safety.

Methods: The study population included 90 recipient hepatectomy patients who had cadaveric and live-donor liver transplantation at Organ Transplant Center of Acıbadem Hospital between 2017 and 2019. The patients were divided into two groups. The first group contained 40 patients who were closed with 25 mm EndoTA 30 stapler. The second group contained 50 patients who were closed by continuous double- layer suturing with 5/0 propylene.


Results:
In the group closed by endovascular stapler, reinforcement suturing was performed in eight patients (20%) using 5/0 propylene suture due to mild blood leakage in the closing line. In two patients (5%), on the other hand, the staple device could not be used due to the fact that HCL was very close to the right hepatic vein and the distance between the liver and the vena cava was short. There were no perioperative and postoperative HCL-associated liver and vena cava bleeding complications in both groups. However, the cost was significantly higher in the stapler group than in the suturing group.


Conclusions:
The present study is the first to compare the stapler or suturing techniques for closing HCL in the receiver hepatectomy of liver transplantation. The results indicated that the closure with suturing was at least as useful and convenient in terms of cost, ease of application and safety.

Kaynakça

  • 1. Langman J. Medical embryology, ed 3. Baltimore, Williams & Wilkins. 1975.
  • 2. Heloury Y, Leborgne J, Rogez JM, Robert R, Barbin JY, Hureau J. The caudate lobe of the liver. Surg Radiol Anat 1988;10:83-91.
  • 3. Lortat-Jacob JL, Robert HG. Un cas d’hépatectomie droite réglée. Mem Acad Chir 1952;78:224-52.
  • 4. Couinaud C. Le foie, études anatomiques et chirurgicales, Paris, Masson. 1957.
  • 5. Dindo D, Demartines N, Clavien PA. Classification of surgical complications : a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-13.
  • 6. Makuuchi M, Hasegawa H, Yamazaki S, Takayasu K. Four new hepatectomy procedures for resection of the right hepatic vein and preservation of the inferior right hepatic vein. Surg Gynecol Obstet 1987;164:68-72
  • 7. Morjane A, Dahmane R, Ravnik D, Hribernik M. Anatomy and surgical relevance of the hepato-caval ligament. A study on cadaveric livers. Cells Tissues Organs 2008;187:243-6.
  • 8. Gadžijev E, Stanisavljević RD, Trotovšek B. Venous drainage of the dorsal sector of the liver: differences between segments I and IX. A study on corrosion casts of the human liver. Surg Radiol Anat 1997;19:79-83.
  • 9. Mackenzie S, Dixon E, Bathe O, Sutherland F. Intermittent hepatic vein – total vascular exclusion during liver resection: anatomic and clinical studies. J Gastrointest Surg 2005;9:658-66.
  • 10. Rosset E, Brunet C, Meunier B, Marie PA, DiMarino V, Argeme M, et al. Anatomic basis of the liver for the development of a perihepatic prosthesis. Surg Radiol Anat 1995;17:1-5.
  • 11. Melendez JA, Arslan V, Fischer ME, Wuest D, Jarnagin WR, Fong Y, et al. Periopera tive outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfu- sion, and the risk of postoperative renal dysfunction. J Am Coll Surg 1998;187:620-5.
  • 12. Correa-Gallego C, Gonen M, Fischer M, Grant F, Kemeny NE, Arslan-Carlon V, et al. Perioperative complications influence recur- rence and survival after resection of hepatic colorectal metastases. Ann Surg Oncol 2013;20:2477-84.
  • 13. Amato A, Pescatori M. Perioperative blood trans- fusions for the recurrence of colorectal cancer. Cochrane Database Syst Rev 2006;1:CD005033.
  • 14. Kooby DA, Stockman J, Ben-Porat L, Gonen M, Jarnagin WR, Dematteo RP, et al. Influence of transfusions on perioperative and long-term outcome in patients following hepatic resection for colorectal metastases. Ann Surg 2003;237:860-9.
  • 15. Ramacciato G, Balesh AM, Fornasari V. Vascular endostapler as an aid to hepatic vein control during hepatic resections. Am J Surg 1996;172:358-62.
  • 16. Dudeja V, Jarnagin W. Massive Intraoperative Hemorrhage During Hepato-Biliary and Pancreatic Surgery. In: Pawlik T, Maithel S, Merchant N. (eds) Gastrointestinal Surgery. Springer:New York, NY. 2015: pp. 201-15.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi, Gastroenteroloji ve Hepatoloji
Bölüm Original Article
Yazarlar

Imam Bakır Batı Bu kişi benim 0000-0002-0066-1170

Umut Tüysüz 0000-0002-8948-4050

Yayımlanma Tarihi 4 Mayıs 2023
Gönderilme Tarihi 22 Mart 2022
Kabul Tarihi 9 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 9 Sayı: 3

Kaynak Göster

AMA Batı IB, Tüysüz U. Comparing the closure of hepatocaval ligament using stapler or suturing in liver surgery. Eur Res J. Mayıs 2023;9(3):461-467. doi:10.18621/eurj.1091092

e-ISSN: 2149-3189 


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