This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Liver/ Biliary Tract/ Pancreatic Diseases  • Surgical Oncology  • Blood/ Coagulation  • Oncology, Other  • Hepatobiliary Surgery  • Alert me on articles by topic

Timothy C. Fabian, MD

Arch Surg. 2006;141:654.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of the ARCHIVES, Ishizaki et al¹ report a remarkable series of 34 complex liver resections (see their Table 1) for a variety of metastatic and primary malignant neoplasms (1 case involved benign disease). The crux of this retrospective review was to demonstrate not the safety and efficacy of their technique of liver resection but its superiority. They use the IPM (15 minutes of occlusion followed by 5 minutes of reperfusion) throughout the hepatic resection. They note that, while this technique is used in Asia, it is not widely accepted in the West primarily because of concerns about excessive blood loss.

The purported advantage of the technique is that it ameliorates ischemia-induced hepatocellular injury. A novel aspect of their article is that their study analyzes results for complex resections with occlusion times of 90 minutes or longer, while previous studies^2-4 used intermittent . . . [Full Text of this Article]

AUTHOR INFORMATION

RELATED ARTICLE

Safety of Prolonged Intermittent Pringle Maneuver During Hepatic Resection
Yoichi Ishizaki, Jiro Yoshimoto, Ken Miwa, Hiroyuki Sugo, and Seiji Kawasaki
Arch Surg. 2006;141(7):649-653.
ABSTRACT | FULL TEXT