Laparoscopic Liver Resection by Rong Liu

Author:Rong Liu
Language: eng
Format: epub
Publisher: Springer Netherlands, Dordrecht

2.Hemorrhage during liver resection: If the color of blood is vivid, the blood may come from the “infusion vessels,” and it can be stopped by bio-polar electrocoagulator. However, when the color of blood is dark and the pressure is low, the blood may come from branches of hepatic veins. In this situation, as the wall of hepatic veins is thin and prone to be tore, absorbable clips should be used to clip both the hepatic vein and its surrounding parenchyma under the bleeding site, instead of lifting up the vessels and then clipping them like in the case of processing portal vein and hepatic artery hemorrhage. In order to prevent gas embolism, the open hepatic vein shouldn’t be clipped repeatedly when it’s still bleeding. If the bleeding can’t be controlled after clipping one to two times, it’s suggested to use the gauze to press the bleeding site for a few minutes. For the pressure of hepatic vein is low, the bleeding may ameliorate or stop, and then choose to suture or press the bleeding site based on the actual situation.

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