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Anaesthetic and surgical considerations in partial hepatectomy

Authors: J I, Davies; A, Kaplan;

Anaesthetic and surgical considerations in partial hepatectomy

Abstract

A new technique for reducing bleeding during partial hepatectomy has been investigated in dogs. It consists of producing systemic hypotension using trime-thaphan alone, and in combination with Vasopressin. Hypotension of 20 minutes and resection of 35 per cent of liver substance produced minimal bleeding and insignificant effects on liver function. Further studies are in progress to determine the effects on liver function of hypotension up to 45 minutes in duration and to learn the significance of liver shunts and sphincter mechanisms. Preliminary results are briefly discussed. The hepatic artery flow is dependent on mean aortic pressure. The clinical usefulness of this technique is discussed.

Keywords

Dogs, Liver Function Tests, Vasopressins, Liver Neoplasms, Animals, Hepatectomy, Hypotension, Controlled, Gastrointestinal Hemorrhage, Trimethaphan

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    popularity
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
Average
bronze