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hepatic vascular exclusion methods comparison study

Ai-Jun Li, Ze-Ya Pan, Wei-Ping Zhou, Si-Yuan Fu, Yuan Yang, Gang Huang, Lei Yin, Meng-Chao Wu
BACKGROUND: Selective hepatic vascular exclusion (SHVE) is an effective hepatic vascular exclusion in controlling both inflow and outflow without interruption of caval flow, as it combines Pringle maneuver with extrahepatic selective occlusion of hepatic veins. But SHVE has not been widely used due to difficulty in extrahepatic dissection of hepatic veins. When the tumor is very close to the roots of the hepatic veins, dissecting the posterior wall of the hepatic vein may lead to rupture and massive bleeding of the hepatic vein...
August 2008: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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