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Similar Publications

Authors report an experimental model of total hepatectomy in the rat. In this model whole liver was replaced by an autologous vascular prosthesis. On the contrary as reported in other experiences, in this model is maintained the cavo-caval flow, with absence of cavo-caval and porta-caval shunts.

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[Ex situ-in vivo hepatic resection. Technique and initial results].

Chirurgie

January 1994

Département de Chirurgie digestive et hépato-biliaire, hôpital Saint-Antoine, Paris.

Extracorporeal liver surgery has been proposed with the aim to increase the resectability rate in patients with advanced tumors. In order to avoid the inherent section of the hepatic pedicle we propose ex situ-in vivo liver surgery. The surgical procedure comprises complete mobilization and exteriorization of the liver which is rocked on the axis of the porta hepatis following section of the hepatic veins.

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[Calibrated latero-lateral portocaval anastomosis. Technic and results. 33 cases].

Presse Med

October 1987

Service de Chirurgie générale, CHRU, Saint-Etienne.

The authors describe an as yet little known technique of truncular and selective portocaval anastomosis. This technique is characterized by its simplicity and by the quality of the results obtained, with a low incidence of recurrent haemorrhages and chronic portocaval encephalopathy. For these reasons, it should be particularly useful for the treatment of haemorrhagic cirrhosis in patients with moderate hepatocellular damage.

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A technique for performance of portocaval shunt operations using tubular inferior vena cava grafts is proposed. The aim of this method is to avoid prosthetic or venous interposition with their risk of thrombosis. It is based on results of cadaver experimental studies and a clinical case.

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