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Changes in liver function after hepatic dearterialization in man

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Abstract

With the object of palliation of hepatic malignancy, hepatic artery ligation was performed in seven patients; six with metastatic liver tumor and the one with primary liver cancer. The proper hepatic artery was ligated in five patients and the right hepatic artery in one. In another patient with metastatic leiomyosarcoma, the right and left hepatic arteries were ligated in two stages. In all patients varying degrees of clevated serum bilirubin and increased activities of serum GOT, GPT and LDH were seen in the first postoperative week which returned to preoperative levels within one to two weeks. No significant rise was found in the activities of serum alkaline phosphatase and leucine aminopeptidase, but in three patients an elevation of alkaline phosphatase was seen at a rather later period after the ligation. Serum albumin, total cholesterol, A/G ratio and cholinesterase showed gradual decreases attaining to the lowest level one to two weeks after the operation and returned to the preoperative values within three weeks. In two patients, abnormal preoperative LDH isoenzyme patterns returned to normal on the 14th postoperative day as well as total LDH activities. This study supports the view that man can tolerate an almost complete dearterialization of the liver without fatal sequela.

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Author notes

  1. Naofumi Nagasue

    Present address: Department of Surgery, University of Lund, Lund, Sweden

  2. Sadao Arari

    Present address: Department of Surgery, Fukuoka University, Fukuoka, Japan

  3. Izuo Kusaba

    Present address: Department of Surgery, Kyushu Dental School, Kitakyushu, Japan

Authors and Affiliations

  1. Department of Surgery, Saiseikai Yahata Hospital, Kitakyushu, Japan

    Naofumi Nagasue, Hirokuni Murakami, Kinji Ayabe, Kiichiro Ichimaru, Sadao Arari & Izuo Kusaba

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  1. Naofumi Nagasue
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  2. Hirokuni Murakami
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Nagasue, N., Murakami, H., Ayabe, K. et al. Changes in liver function after hepatic dearterialization in man. The Japanese Journal of Surgery 3, 40–51 (1973). https://doi.org/10.1007/BF02469461

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