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Titolo:
Pringle's maneuver lasting 322min
Autore:
Sakamoto, Y; Makuuchi, M; Takayama, T; Minagawa, M; Kita, Y;
Indirizzi:
Univ Tokyo, Fac Med, Dept Surg 2, Bunkyo Ku, Tokyo 113, Japan Univ Tokyo Tokyo Japan 113 Med, Dept Surg 2, Bunkyo Ku, Tokyo 113, Japan
Titolo Testata:
HEPATO-GASTROENTEROLOGY
fascicolo: 25, volume: 46, anno: 1999,
pagine: 457 - 458
SICI:
0172-6390(199901/02)46:25<457:PML3>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEPATIC RESECTION; LIVER; ISCHEMIA;
Keywords:
Pringle's maneuver; hepatectomy; hepatic ischemia; intermittent clamping;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Sakamoto, Y Univ Tokyo, Fac Med, Dept Surg 2, Bunkyo Ku, 7-3-1 Hongo, Tokyo 113, Japan Univ Tokyo 7-3-1 Hongo Tokyo Japan 113 ongo, Tokyo 113, Japan
Citazione:
Y. Sakamoto et al., "Pringle's maneuver lasting 322min", HEP-GASTRO, 46(25), 1999, pp. 457-458

Abstract

Up to now, the reported limit of 'continuous' Pringle's maneuver during hepatectomy has not exceeded 127min. Here we used 'intermittent' clamping to increase the cumulative time of safe ischemia. A 49 year-old man who had undergone jejunal resection because of leiomyosarcoma was referred with 18 hepatic metastases. Using 'intermittent' Pringle's maneuver, enucleation of the entire tumor was performed. The cumulative ischemic time of the liver was 322min, but post-operative serum level total bilirubin remained normal. The patient was discharged on day 24 without any complications, remaining well for up to 5 months after surgery. The present case shows that the safe upper limit of cumulative hepatic ischemia can be extended to 322min.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:51:35