Application Of Selective Hemihepatic Vascular Occlusion In Hepatectomy Of Hepatic Cavernous Hemangioma

Objective Currently the main method of treatment of hepatic cavernoushemangioma is hepatectomy. Intraoperative blood loss is one of the importantfactors that affect operative mortality and the incident of postoperativecomplications. How to control bleeding is a prerequisite for success ofhepatectomy. We used the selective hemihepatic vascular occlusion and Pringlemaneuver to compare and investigate the effect of selective hemihepatic vascularocclusion in hepatectomy of hepatic cavernous hemangioma.Methods Retrospective analysis104patients with hepatic cavernoushemangioma as who underwent surgical resection from January2006to January2011in the Department of Hepatobiliary Surgery, Affiliated Hospital of NingxiaMedical University.26patients received hepatectomy with selective hemihepaticvascular occlusion(group A),78patients received hepatectomy with Pringlemaneuver(group B). Subsequently, the influence of the two approaches on theparameters including intraoperative conditions, postoperative hepatic function andcomplications incidence rate was comparatively analyzed.Results104cases were operated successfully. No statistically significantdifference was found in intraoperative blood loss, blood transfusion, occlusiontime, oxygen saturation, recovery of intestine function and complicationsincidence rate between group A and groug B(P≥0.05). Significant differenceexisted between the two groups in intraoperative blood pressure(F=7.878, P＜0.01). With a significant difference between the two groups in pulse changes(F=9.208, P＜0.01). Recovery of hepatic function: ALT(F=4.078, P＜0.05), AST（F=4.250, P＜0.05), ALB(F=27.071, P＜0.01), TBIL(F=4.733, P＜0.05), all of them with a statistically significant difference. Which the ALB has ahighly significant difference.Conclusions Selective hemihepatic vascular occlusion can be effectivelyreduce the impact of hemodynamics and the hepatic damage in hepatectomy ofhepatic cavernous hemangioma. Profit the recovery of postoperative hepaticfunction parameters.