1993
DOI: 10.1016/s0002-9610(05)80447-7
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Evaluation of 50 consecutive segmental hepatic resections

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Cited by 15 publications
(9 citation statements)
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“…All transfused patients (6%) received autologous blood transfusion, but it should be noted that the same resection procedures performed by an open approach would probably not have required blood transfusion. The need for blood transfusion in minor liver resections on a noncirrhotic liver parenchyma is indeed minimal when using an open approach [63][64][65]. This feature confirmed that bleeding remains the most important intraoperative problem during liver resection, as in open surgery, but is obviously more difficult to control laparoscopically, even for minor resections.…”
Section: Discussionmentioning
confidence: 86%
“…All transfused patients (6%) received autologous blood transfusion, but it should be noted that the same resection procedures performed by an open approach would probably not have required blood transfusion. The need for blood transfusion in minor liver resections on a noncirrhotic liver parenchyma is indeed minimal when using an open approach [63][64][65]. This feature confirmed that bleeding remains the most important intraoperative problem during liver resection, as in open surgery, but is obviously more difficult to control laparoscopically, even for minor resections.…”
Section: Discussionmentioning
confidence: 86%
“…The techniques of segmental liver resection [1,13,14] have evolved from a better understanding of the intrahepatic organization of the liver. Segmental resections have become common and recently have accounted for about 20% of our hepatic resections [15].…”
Section: Segmental Liver Resectionsmentioning
confidence: 99%
“…Anterior (segments IVa, V, and VI) and left lateral (segments II, III) segmental resections were more common since encounters with the proximal branches of major hepatic veins could be avoided and operative exposure is generally easier. Literature series report that from 11% to 38% of segmental resections involved segments VII and VIII [19], either singly or in combination. All describe wide exposure, full mobilization of the right liver, intraoperative ultrasonic guidance, and inflow and outflow control.…”
Section: Discussionmentioning
confidence: 99%