The Application of Selective Hepatic Inflow Vascular Occlusion with Anterior Approach in Liver Resection: Effectiveness in Managing Major Complications and Long-Term Survival
Table 2
Perioperative characteristics.
Characteristic
Finding
Liver resection type—no. (%)
Minor hepatic resection
43 (59.7%)
Major hepatic resection
39 (40.3%)
Cholecystectomy – No. (%)
61 (86.1%)
Catheter inserted into main bile duct through cystic duct for biliary leakage check
49 (68.1%)
Intraoperatively detected bile leakage
18/49
Postoperatively keeping the catheter for bile drainage
10/49
Glissonean approach—no. (%)
Intrafascial approach for right/left Glissonean pedicle
42 (58.3%)
PVE
15 (35.7%)
Portal vein thrombosis
7 (16.7%)
Extrafascial approach for right/left Glissonean pedicle
13 (18.1%)
PVE
2 (2.8%)
Extrafascial approach for right/left Glissonean pedicle and then sectional/segmental Glissonean pedicle
17 (23.6%)
Complications in the Glissonean approach—no. (%)
Bile duct injury
1 (1.4%)
Bleeding
3 (4.2%)
Pedicle dissection time (minutes)
Mean, range
All patients
(5-45)
Intrafascial approach for right/left Glissonean pedicle
(7–38)
Extrafascial approach for right/left Glissonean pedicle
(5–12)
Extrafascial approach for right/left Glissonean pedicle and sectional/segmental Glissonean pedicle
