Selective exclusion of hepatic outflow and inflow in right hemihepatectomy

Abstract

Objective To evaluate the significance of selective exclusion of hepatic outflow and inflow in right hemihepatectomy for hepatocarcinoma patients. Methods Forty-nine hepatocarcinoma patients underwent right hemihepatectomy were divided into two groups: selective exclusion of right hepatic inflow group (SEHI, n= 22) and selective exclusion of right hepatic outflow and inflow group (SEHIO, n=27).The amount of intraoperative bleeding, rate of transfusion, complications, postoperative liver function and liver function recovering were compared between the two groups. Results There were no difference in the rate of transfusion between the two groups (P>0.05).One patients in SEHI group died of liver function failure and no patient died in the SEHIO group.The liver function of 7th day after operation in SEHIO group was significantly better than that in SEHI group (P<0.05). Complications in SEHI group was higher than in SEHIO group. Conclusions Both the two methods of selective right hemihepatic blood flow control in this study can reduce the intraoperation bleeding. Selective exclusion of right hemihepatic inflow and outflow is safer than the selective exclusion of right hepatic inflow in right hemihepatectomy for patients with hepatocarcinoma and profit the recovery of postoperative hepatic function. Key words: Selective exclusion of right hemihepatic outflow and inflow; Selective exclusion of right hemihepatic inflow; Hepatocarcinoma; Right hemihepatectomy