Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 3, Issue 4, pp 495–497 | Cite as

Omental packing for the transected surface remnant liver after major hepatectomy

  • Masaru Miyazaki
  • Hiroshi Itoh
  • Satoshi Ambiru
  • Hiroaki Shimizu
  • Akira Togawa
  • Masayuki Shiobara
  • Yoshiaki Shimizu
  • Kazuhiro Sasada
  • Shigeru Yoshioka
  • Hiroaki Yoshidome
  • Masayuki Ohtsuka
  • Nobuyuki Nakajima
Case Reports of Interest

Abstract

To avoid intraabdominal abscess and biliary fistula, which may lengthen hospital stay or result in lethal complications after major hepatic resection, it is important to control postoperative bleeding and bile leakage. We employed a technique for preventing postoperative bleeding and bile leakage, using omental packing with fibrin glue for the transected surface of the remnant liver after hepatic resection. This procedure was employed in 50 patients who underwent major hepatic resection. There was no postoperative bleeding or biliary fistula, and drain tubes were removed within 5 days in all patients. Omental packing with fibrin glue could be a very useful procedure of preventing postoperative biliary fistula, bleeding, and abscess after major hepatic resection.

Key words

omental packing biliary fistula hepatic resection 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • Masaru Miyazaki
    • 1
  • Hiroshi Itoh
    • 1
  • Satoshi Ambiru
    • 1
  • Hiroaki Shimizu
    • 1
  • Akira Togawa
    • 1
  • Masayuki Shiobara
    • 1
  • Yoshiaki Shimizu
    • 1
  • Kazuhiro Sasada
    • 1
  • Shigeru Yoshioka
    • 1
  • Hiroaki Yoshidome
    • 1
  • Masayuki Ohtsuka
    • 1
  • Nobuyuki Nakajima
    • 1
  1. 1.The First Department of Surgery School of MedicineChiba UniversityChibaJapan

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