Journal
JOURNAL OF SURGICAL ONCOLOGY
Volume 109, Issue 2, Pages 81-88Publisher
WILEY
DOI: 10.1002/jso.23455
Keywords
hepatectomy; liver resection; blood loss; hemorrhage; parenchymal transection; vascular control; blood; bleeding; liver; transfusion; hepatic
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There are numerous techniques surgeons employ to reduce blood loss during partial hepatectomy. In this literature review, prospective studies from the last 20 years are examined to determine the techniques that are best supported by the literature. Some of the techniques include vascular control, multiple parenchymal transection techniques, various hemostatic agents, low central venous pressure, and hemodilution. The strategies supported most convincingly by the literature include low CVP and total hepatic inflow occlusion. J. Surg. Oncol. 2014 109:81-88. (c) 2013 Wiley Periodicals, Inc.
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