Intensive Pulmonary Care After Liver Surgery: A Retrospective Survey From a Single Center

Topaloğlu, Serdar; Inci, I.; Çalık, Adnan; Aras, Orhan; Öztuna, Funda; Ak, Huseyin; Bülbül, Yılmaz; Arslan, Mustafa

doi:10.1016/j.transproceed.2013.02.082

Cited by 8 publications

(13 citation statements)

References 35 publications

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“…According to our clinical policy, large hemangioma is not a common indication for liver resection (6,7). In that period, 74 patients with hemangioma were referred to our center.…”

Section: Methodsmentioning

confidence: 99%

Preoperative arterial embolization of large liver hemangiomas

Topaloğlu¹,

Oguz²,

Kalaycı³

et al. 2015

Diagn Interv Radiol

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“…According to our clinical policy, large hemangioma is not a common indication for liver resection (6,7). In that period, 74 patients with hemangioma were referred to our center.…”

Section: Methodsmentioning

confidence: 99%

Preoperative arterial embolization of large liver hemangiomas

Topaloğlu¹,

Oguz²,

Kalaycı³

et al. 2015

Diagn Interv Radiol

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“…Intermittent PTC in cycles of 15/5 min of clamp/unclamp times was used in all patients. Liver transection was performed with the combination of clamp crushing method and vessel sealing system (Ligasure, Covidien AG, CA, USA) [9]. We used Bismuth's terminology for hepatectomy (segmental and sectorial division of liver parenchyma) in this study [10].…”

Section: Methodsmentioning

confidence: 99%

“…Patients received standardized pulmonary care a day after extubation [9]. Patients were seen daily by the surgical team until hospital discharge.…”

Section: Methodsmentioning

confidence: 99%

Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure

Topaloğlu

Çalık

et al. 2013

BioMed Research International

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Background. This retrospective study was designed to investigate the efficacy and safety of intermittent portal triad clamping (PTC) with low central venous pressure (CVP) in liver resections. Methods. Between January 2007 and August 2013, 115 patients underwent liver resection with intermittent PTC. The patients' data were retrospectively analyzed. Results. There were 58 males and 57 females with a mean age of 55 years (±13.7). Cirrhosis was found in 23 patients. Resections were performed for malignant disease in 62.6% (n = 72) and for benign disease in 37.4% (n = 43). Major hepatectomy was performed in 26 patients (22.4%). Mean liver ischemia period was 27.1 min (±13.9). The mortality rate was 1.7% and the morbidity rate was 22.6%. Cumulative clamping time (t = 3.61, P < 0.001) and operation time (t = 2.38, P < 0.019) were significantly correlated with AST alterations (D-AST). Cumulative clamping time (t = 5.16, P < 0.001) was significantly correlated with D-ALT. Operation time (t = 5.81, P < 0.001) was significantly correlated with D-LDH. Conclusions. Intermittent PTC under low CVP was performed with low morbidity and mortality. Intermittent PTC can be safely applied up to 60 minutes in both normal and impaired livers.

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“…LRs were performed through a Jshaped right subcostal incision. A conventional technique including intermittent PTC in 15/5 min cycles of clamp/unclamp times has been used for LRs [2,[9][10][11]. The liver was transected via clamp crushing and a vessel sealing device (LigaSure TM , Medtronic, 710 Medtronic Parkway, Minneapolis, MN 55432-5604, USA).…”

Section: Liver Resection and Perioperative Carementioning

confidence: 99%

“…The need of perioperative blood transfusion is reported between 20% and 50% of major LRs [1][2][3][4][5]. Operative blood loss and exposure to allogenic blood are associated with poor outcomes in patients undergoing LR [1][2][3].…”

mentioning

confidence: 99%

Effects of intraoperative blood loss during liver resection on patients’ outcome: a single- center experience

Bodur¹,

Tomas²,

Topaloğlu³

et al. 2021

Turk J Med Sci

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Background/aim: Operative bleeding is one of the major determinants of outcome in liver surgery. This study aimed to describe the impact of intraoperative blood loss on the postoperative course of liver resection (LR). Materials and methods: The data of 257 patients who were treated with LR between January 2007 and October 2018 were retrospectively analyzed. LRs were performed via intermittent portal triad clamping (PTC) under low central venous pressure. Results: LRs were performed for 67.7% of patients with a malignant disease and 32.3% of patients with a benign disease. Major LR was performed in 89 patients (34.6%). The mean PTC period was 20.32 minutes (±13.7). The median intraoperative bleeding amount was 200 ml (5-3500 ml), the 30-day mortality rate was 4.3%, and the morbidity rate was 31.9%. The hospital stay (P=0.002), morbidity (P=0.009), and 30-day mortality (P=0.041) of patients with a bleeding amount of more than 500 ml significantly increased. Conclusion: Surgeons should consider the adverse effects of intraoperative bleeding during liver resection on patients' outcome. Favorable outcomes would be obtained with diligent postoperative care.

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Intensive Pulmonary Care After Liver Surgery: A Retrospective Survey From a Single Center

Cited by 8 publications

References 35 publications

Preoperative arterial embolization of large liver hemangiomas

Preoperative arterial embolization of large liver hemangiomas

Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure

Effects of intraoperative blood loss during liver resection on patients’ outcome: a single- center experience

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