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The Surgical Technique of Isolated Hyperthermic Arterial Liver Perfusion in Humans

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Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 147))

Abstract

Various techniques of isolated liver perfusions have been described, using hepatic artery or both hepatic artery and portal vein. In this paper the technique of isolated arterial liver perfusion is presented. Twelve patients suffering from non-resectable liver tumors underwent this approach. All of them had been previously unsuccessfully treated by resection or systemic chemotherapy. The liver perfusions were performed without technical problems. No operative death occurred. The mean operating time was 413±29 min. Although the perfusion medium was oxygenated and the absolute anoxic period was shorter than 10 min in all cases the perfused livers showed a marked postoperative increase of liver enzyme levels. Further studies should be aimed at reducing this hepatic injury and simplifying the complex surgical procedure.

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© 1998 Springer-Verlag Berlin · Heidelberg

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Oldhafer, K.J. et al. (1998). The Surgical Technique of Isolated Hyperthermic Arterial Liver Perfusion in Humans. In: Oldhafer, K.J., Lang, H., Pichlmayr, R. (eds) Isolated Liver Perfusion for Hepatic Tumors. Recent Results in Cancer Research, vol 147. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80460-1_5

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  • DOI: https://doi.org/10.1007/978-3-642-80460-1_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-80462-5

  • Online ISBN: 978-3-642-80460-1

  • eBook Packages: Springer Book Archive

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