✦ LIBER ✦

Prolonged lactic acidosis after extended hepatectomy under in situ hypothermic perfusion

✍ Scribed by Davidson, Brian R. ;Rai, Rakesh

Book ID: 102467150
Publisher: Wiley (John Wiley & Sons)
Year: 1999
Tongue: English
Weight: 28 KB
Volume: 5
Category: Article
ISSN: 1074-3022
DOI: 10.1002/lt.500050205

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✦ Synopsis

A 46-year-old woman underwent right extended hepatectomy under total vascular occlusion with in situ hypothermic perfusion for colorectal metastasis. Immediately after surgery, she developed severe lactic acidosis, which required correction with sodium bicarbonate solution and ventilatory support for 36 hours. After 2 days, her lactate normalized, and the acidosis was corrected. She made an uneventful recovery. Persistent lactic acidosis after major hepatic resection under in situ hypothermic perfusion is a rare but reversible problem.

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