Application of obstruction of Glission pedicle combined with partial occlusion obstruction of inferior vena cava in regional liver resection

Abstract

This study aims to investigate the clinical effect of Glission pedicle obstruction combined with partial obstruction of inferior vena cava in regional liver resection. A total of eight liver cancer patients were retrospectively analyzed. They underwent regional liver resection using a combined method of Glission pedicle obstruction and partial obstruction of inferior vena cava. Among these cases, three received right liver resection, two received left liver resection and others received right posterior lobe resection. Operation time and blood loss were measured. After operation, aspartate transaminase (AST), alkaline phosphate (ALP), albumin, ascites and enterocinesia recovery time were calculated, respectively. Preoperative evaluation of these cases showed that they shared the features of indocyanine green (ICG)-15 min retention rate of 40%. The operation time ranged from 60 to 90 min, and the average blood loss was 100 to 200 ml. There were no significant differences in AST and ALP before and after operation. The postoperative albumin decreased by about 10 g. Ascites occurred in all cases after operation, but after infusion of albumin,diuretics disappeared, and enterocinesia was restored two days later. Glission pedicle obstruction combined with partial obstruction of the inferior vena cava can notably shorten the operation time of regional liver resection and reduce the blood loss. Key words: Glission pedicle, partial obstruction of the inferior vena cava, regional liver resection.