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KMID : 0371319770190080069
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Journal of the Korean Surgical Society
1977 Volume.19 No. 8 p.69 ~ p.77
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Clinical Experiences of Hepatic Artery Ligation on the Hepatoma Patients
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김응국/Kim, Eung Kook
김상우/고용복/김인철/Kim, Sang Woo/Koh, Yong Bok/Kim, In Chul
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Abstract
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Traditional teaching has maintained that ligation of the hepatic artery or one of its principal branches is a feared surgical complication and is associated with a. high mortality.
This attitude stems from the survey of accidental hepatic artery ligation in the human by Graham and Cannel in 1933 and their review indicated that a mortality rate exceeded 60 percent.
But in addition to the studies using animals, a considerable number of hepatic artery ligation was performed in men with success and this opinion is being rethought.
In these days, operations in which the hepatic artery or one of its branches is ligated are being used increasingly as the best form of therapy for some hepatic lesions.
Recently, at the Department of Surgery of St. Mary´s Hospital, hepatic artery.ligation was performed in the cases of 6 hepatoma patients who were in the hemorrhagic shock state due to the spontaneous intraperitoneal rupture of the hepatoma and 2 patients in whom the extensi-veness of the tumor invasion made the hepatic resection impossible.
Among 8 cases, 7 cases underwent right hepatic artery ligation and proper hepatic artery was ligated in one case because of uncontrollable massive bleeding; from ruptured multiple hepatoma.
This report describes the clinical details of these cases and documents the efficacy of hepatic artery ligation in their management.
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