Emergency Liver Resection with Staplers for Spontaneous Liver Haemorrhage in a Patient Receiving Anticoagulant Therapy

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dc.authoridsoyer, haci vural/0000-0003-4271-7467
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidsoyer, haci vural/KAM-0073-2024
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.contributor.authorKutluftirk, Koray
dc.contributor.authorSoyer, Vural
dc.contributor.authorDirican, Abuzer
dc.contributor.authorUnal, Bulent
dc.contributor.authorAydin, Cemalettin
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:43:55Z
dc.date.available2024-08-04T20:43:55Z
dc.date.issued2013
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction. Emergency liver resection during active bleeding in a patient who takes anticoagulant therapy is a complicated and high-risk surgery. Aim. We described a technique that is combination of staplers, total hepatic vascular occlusion, and hemostatic agent (TachoSil) application for safe and quick hepatectomy. Patient and Method. A 72-year-old woman who uses warfarin regularly due to valvuloplasty admitted emergency unit with abdominal pain and shock. At admission, her hemoglobin, hematocrit, and INR values were 5.2g/dL, 14.9%, and 6.7, respectively. Radiologic evaluation revealed abdominal free fluid and a liver lesion on segments V, VI, and VII. Emergency laparotomy was required. There was an active bleeding from a liver hematoma that could not be controlled by packing, and an urgent hepatic resection was required. Under total hepatic vascular occlusion, segments V, VI, and VII were resected with endoscopic nonvascular staplers. Cut surface of the liver was coagulated with bipolar cautery and covered with a hemostatic material. Results. Hepatectomy took six minutes, and the duration of surgery was 80 minutes. There was no complication and no transfusion required after surgery, and the patient was discharged on 8th day, uneventfully. Conclusion. Emergency hepatectomy with staplers, under vascular control with hemostatic agents, provided a rapid and safe surgery.en_US
dc.identifier.doi10.1155/2013/204046
dc.identifier.issn1687-9627
dc.identifier.issn1687-9635
dc.identifier.pmid23935634en_US
dc.identifier.scopus2-s2.0-85024880263en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.urihttps://doi.org/10.1155/2013/204046
dc.identifier.urihttps://hdl.handle.net/11616/97898
dc.identifier.volume2013en_US
dc.identifier.wosWOS:000215261800026en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherHindawi Ltden_US
dc.relation.ispartofCase Reports in Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keywords]en_US
dc.titleEmergency Liver Resection with Staplers for Spontaneous Liver Haemorrhage in a Patient Receiving Anticoagulant Therapyen_US
dc.typeArticleen_US

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