DerChirurg.00710363.ger.abstr-passage-0
abstract
Zusammenfassung . Blutungen bei der Leberresektion koennen durch entsprechende chirurgische Techniken vermieden werden . Hierzu zaehlen : adaequater Zugang , vasculaere Ausklemmung , kontrollierte Parenchymdurchtrennung , Vermeidung einer venoesen " Ueberfuellung " und sichere Versorgung der Resektionsflaeche . Exzessive Blutungen bei Leberresektion und -transplantation bedingen ein erhoehtes Risiko postoperativer Komplikationen . Bei der Lebertransplantation ist der Chirurg meist mit Patienten mit chronischen Lebererkrankungen konfrontiert . Gerinnungsstoerungen sind die Regel und die Operation ist anspruchsvoller durch verletzliche venoesen Collateralen als Folge der portalen Hypertension . Durch extrakorporalen veno-venoesen Bypass oder neuere Techniken mit Erhalt der retrohepatischen V. cava koennen diese Schwierigkeiten teilweise ueberwunden werden . Medikamente wie Aprotinin koennen die Fibrinolyse bei der Lebertransplantation vermindern . Chirurgische Geschicklichkeit und Erfahrung bleiben wohl die bedeutendsten Faktoren fuer den intraoperativen Blutverlust .
DerChirurg.00710363.ger.abstr-s2-r1-t1.1-t3.1
issue_in
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s2-r2-t2.1-t3.1
issue_in
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s2-r3-t2.1-t1.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s4-r1-t2.1-t1.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s4-r2-t3.1-t1.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s4-r3-t1.1-t5.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s4-r4-t5.1-t3.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s4-r5-t2.1-t3.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s4-r6-t3.2-t3.1
evaluation_of
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s4-r7-t5.1-t1.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s4-r8-t1.1-t3.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s4-r9-t3.2-t3.1
conceptual_part_of
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s4-r10-t2.1-t5.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s4-r11-t3.1-t5.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s5-r1-t3.1-t3.2
affects
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s5-r2-t6.1-t1.1
location_of
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s5-r3-t3.2-t3.1
performs
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s5-r4-t6.1-t3.1
location_of
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s5-r5-t2.1-t1.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s5-r6-t3.2-t1.1
performs
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s5-r7-t1.1-t5.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s5-r8-t5.1-t3.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s5-r9-t6.1-t5.1
location_of
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s5-r10-t2.1-t3.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s5-r11-t5.1-t3.2
occurs_in
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s5-r12-t1.1-t3.2
affects
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s5-t3
DerChirurg.00710363.ger.abstr-s5-r13-t5.1-t1.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s5-r14-t2.1-t5.1
location_of
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s5-r15-t3.1-t5.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s6-r1-t2.1-t1.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s6-r2-t1.1-t2.1
associated_with
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-r1-t1.1-t3.1
affects
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-r2-t1.1-t5.1
disrupts
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-r3-t5.1-t4.1
location_of
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t4
DerChirurg.00710363.ger.abstr-s8-r4-t2.1-t3.1
affects
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-r5-t2.1-t5.1
disrupts
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-r6-t3.1-t2.1
produces
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-r7-t5.1-t3.1
location_of
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-r8-t6.1-t2.1
uses
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-r9-t4.1-t2.1
uses
DerChirurg.00710363.ger.abstr-s8-t4
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-r10-t4.1-t3.1
affects
DerChirurg.00710363.ger.abstr-s8-t4
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-r11-t1.1-t2.1
interacts_with
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-r12-t5.1-t2.1
produces
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-r13-t6.1-t3.1
affects
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-t3
DerChirurg.00710363.ger.abstr-s8-r14-t4.1-t1.1
uses
DerChirurg.00710363.ger.abstr-s8-t4
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-r15-t6.1-t1.1
uses
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-t1
DerChirurg.00710363.ger.abstr-s8-r16-t5.1-t6.1
location_of
DerChirurg.00710363.ger.abstr-s8-t5
DerChirurg.00710363.ger.abstr-s8-t6
DerChirurg.00710363.ger.abstr-s8-r17-t2.1-t1.1
interacts_with
DerChirurg.00710363.ger.abstr-s8-t2
DerChirurg.00710363.ger.abstr-s8-t1