Management of hepatic duct injury during hemihepatic vascular occlusion

1996 ◽  
Vol 83 (2) ◽  
pp. 185-185
Author(s):  
T. Nishizaki ◽  
T. Matsumata ◽  
K. Yanaga ◽  
Y. Soejima ◽  
T. Yoshizumi ◽  
...  
1996 ◽  
Vol 83 (2) ◽  
pp. 185-185
Author(s):  
T. Nishizaki ◽  
T. Matsumata ◽  
K. Yanaga ◽  
Y. Soejima ◽  
T. Yoshizumi ◽  
...  

1992 ◽  
Vol 79 (8) ◽  
pp. 810-810 ◽  
Author(s):  
T. Ezaki ◽  
T. Kanematsu ◽  
T. Matsumata ◽  
T. Shirakusa ◽  
K. Sugimachi

2017 ◽  
Vol 23 ◽  
pp. 2203-2210 ◽  
Author(s):  
Minghao Li ◽  
Tao Zhang ◽  
Liyun Wang ◽  
Baoding Li ◽  
Yang Ding ◽  
...  

Swiss Surgery ◽  
1999 ◽  
Vol 5 (3) ◽  
pp. 143-146 ◽  
Author(s):  
Launois ◽  
Maddern ◽  
Tay

The detailed knowledge of the segmental anatomy of the liver has led to a rapid evolution in resectional surgery based on the intrahepatic distribution of the portal trinity (the hepatic artery, hepatic duct and portal vein). The classical intrafascial or extrahepatic approach is to isolate the appropriate branch of the portal vein, hepatic artery and the hepatic duct, outside the liver substance. Another method, the extrafascial approach, is to dissect the whole sheath of the pedicle directly after division of a substantial amount of the hepatic tissue to reach the pedicle, which is surrounded by a sheath, derived from Glisson's capsule. This Glissonian sheath encloses the portal trinity. In the transfissural or intrahepatic approach, these sheaths can be approached either anteriorly (after division of the main, right or umbilical fissure) or posteriorly from behind the porta hepatis. We describe the technique for approaching the Glissonian sheath and hence the hepatic pedicle structures and their branches by the intrahepatic posterior approach that allows early delineation of the liver segment without the need for ancillary techniques. In addition, the indications for the use of this technique in the technical and oncologic settings are also discussed.


2001 ◽  
Vol 16 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Gracinda De Lourdes Jorge ◽  
Luiz Sergio Leonardi ◽  
Ilka de Fatima Santana Ferreira Boin ◽  
Orlando de Castro e Silva Jr ◽  
Cecilia Amelia Fazzio Escanhoela

The aim of this study was to describe a method for the induction of experimental secondary biliary fibrosis (SBF). Forty-seven Wistar rats were submitted to hepatic duct obstruction (OB group) for thirty days without ligature, section or cannulization causing interruption of biliary flow. This technique was carried out by simple traction of the bile duct passing it through the xiphoid appendix. Nine rats were submitted to a sham operation for bile duct stricture and seven rats comprised the control group. Blood samples were collected for the measurement of total bilirubin (TB), alkaline phosphatase (AP), alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Liver fragments were removed for morphological study. Thirty days after surgery TB, AP, ALT and AST levels were significantly increased in the hepatic duct ligation group compared to the sham operated group and the presence of SBF in the OB group was confirmed by morphological study of the liver. There was technical failure in 31.92% cases. The survival was 100% at fifteen days and 82.97% at the end of the experiment. We concluded that this simple surgical technique may be used to study the consequence of bile duct obstruction which could be a reversible process depending on the obstruction time. This technique can be carried out from cholestasis to fibrosis.


Author(s):  
João F. Barbieri ◽  
Mateus F. Camilo de Lima ◽  
Isabela Imbriani Ferreira ◽  
João P. Gomes ◽  
Shirko Ahmadi

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