bloodless liver resection

No hepatic resection refers to the complete blockage of blood flow into and out of the liver, and hepatectomy in the state where the liver is completely bloodless, so it is also called total hepatic blood flow blocking incision. Treatment of diseases: liver cancer, liver cancer Indication 1. Liver cancer that grows in the first and second hepatic hilum regions or close to the inferior vena cava. 2. Traumatic hepatic vein and inferior vena cava rupture. Surgical procedure 1. Isolation of the perihepatic ligament The diaphragm was cut in the direction of the inferior vena cava, and the ligaments of the liver were separated and cut off one by one. The right adrenal vein was ligated and the liver was completely separated except for the hepatic portal and the common bile duct. 2. Separate and block the upper and lower hepatic vessels and the first hepatic hilum: separate a segment of the abdominal aorta below the diaphragm and above the celiac artery. Then the first hepatic hilum is isolated, and the inferior vena cava above the liver, the right renal vein, and the inferior vena cava above the liver are separated, and the abdominal aorta is blocked one by one with a catheter or a gauze band or a non-invasive vascular clamp. 1st hepatic portal lower inferior vena cava upper superior vena cava of the liver [Fig. 1]. 3. No blood cut liver: After blocking the blood vessels, the liver is bloodless, and liver resection can begin. The branches of the tube leading to the lesion are ligated according to the anatomical relationship in the liver, and the piping of the remaining liver is retained. If the tumor invades the inferior vena cava, part of the inferior vena cava wall can be removed and repaired, so there is no risk of major bleeding or air embolism. After the tumor to be resected and the wound are properly treated, the blocking band is removed one by one in the reverse order of blocking.