{"id":"https://openalex.org/W3415277","doi":null,"title":"Liver ischemia for hepatic resection: where is the limit?","display_name":"Liver ischemia for hepatic resection: where is the limit?","publication_year":1992,"publication_date":"1992-03-01","ids":{"openalex":"https://openalex.org/W3415277","mag":"3415277","pmid":"https://pubmed.ncbi.nlm.nih.gov/1311871"},"language":"en","primary_location":{"id":"pmid:1311871","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1311871","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgery","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025491144","display_name":"CLAUDE HUGUET","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"C Huguet","raw_affiliation_strings":["Department of Surgery, Centre Hospitalier Princesse Grace, Principality of Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Centre Hospitalier Princesse Grace, Principality of Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048518531","display_name":"Adolfo Gavelli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"A Gavelli","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105908037","display_name":"Chieco Pa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"P A Chieco","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075464495","display_name":"Stefano Bona","orcid":"https://orcid.org/0000-0002-2222-1707","observed_orcids":["https://orcid.org/0000-0002-2222-1707"]},"institutions":[{"id":"https://openalex.org/I4210163047","display_name":"IRCCS Humanitas Research Hospital","ror":"https://ror.org/05d538656","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210153126","https://openalex.org/I4210163047"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"S Bona","raw_affiliation_strings":["Istituto Clinico Humanitas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Istituto Clinico Humanitas","institution_ids":["https://openalex.org/I4210163047"]}]},{"author_position":"middle","author":{"id":null,"display_name":"J Harb","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"J Harb","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"middle","author":{"id":null,"display_name":"J M Joseph","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"J M Joseph","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"middle","author":{"id":null,"display_name":"J Jobard","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"J Jobard","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105325917","display_name":"M Gramaglia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"M Gramaglia","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022101311","display_name":"M Lasserre","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801035888","display_name":"Princess Grace Hospital Centre","ror":"https://ror.org/03x1jt541","country_code":"MC","type":"healthcare","lineage":["https://openalex.org/I2801035888"]}],"countries":["MC"],"is_corresponding":false,"raw_author_name":"M Lasserre","raw_affiliation_strings":["Centre Hospitalier Princesse-Grace Monaco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre Hospitalier Princesse-Grace Monaco","institution_ids":["https://openalex.org/I2801035888"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":16.8048,"has_fulltext":false,"cited_by_count":288,"citation_normalized_percentile":{"value":0.99494836,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"111","issue":"3","first_page":"251","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10999","display_name":"Organ Transplantation Techniques and Outcomes","score":0.5640000104904175,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10999","display_name":"Organ Transplantation Techniques and Outcomes","score":0.5640000104904175,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10073","display_name":"Hepatocellular Carcinoma Treatment and Prognosis","score":0.4293999969959259,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10966","display_name":"Liver physiology and pathology","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/liver-resection","display_name":"hepatectomy","score":0.8500000238418579},{"id":"https://openalex.org/keywords/portal-triad-clamping","display_name":"portal triad clamping","score":0.9110000133514404},{"id":"https://openalex.org/keywords/inferior-vena-cava-clamping","display_name":"inferior vena cava clamping","score":0.9800000190734863},{"id":"https://openalex.org/keywords/hepatic-vascular-exclusion","display_name":"hepatic vascular exclusion","score":0.8659999966621399},{"id":"https://openalex.org/keywords/ischemic-time","display_name":"ischemic time","score":0.8339999914169312},{"id":"https://openalex.org/keywords/liver-regeneration","display_name":"liver regeneration","score":0.7360000014305115},{"id":"https://openalex.org/keywords/postoperative-liver-function","display_name":"postoperative liver function","score":0.8209999799728394},{"id":"https://openalex.org/keywords/postoperative-morbidity","display_name":"postoperative morbidity","score":0.593999981880188},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.7080000042915344},{"id":"https://openalex.org/keywords/liver-cancer-surgery","display_name":"liver cancer surgery","score":0.36500000953674316}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9711697101593018},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.6002920269966125},{"id":"https://openalex.org/C2777766500","wikidata":"https://www.wikidata.org/wiki/Q360841","display_name":"Liver biopsy","level":3,"score":0.5521855354309082},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5114730596542358},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.44599252939224243},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.4442650079727173},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.33276569843292236},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2730236351490021}],"mesh":[{"descriptor_ui":"D001663","descriptor_name":"Bilirubin","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006498","descriptor_name":"Hepatectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006528","descriptor_name":"Carcinoma, Hepatocellular","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D006528","descriptor_name":"Carcinoma, Hepatocellular","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007511","descriptor_name":"Ischemia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008102","descriptor_name":"Liver Circulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008107","descriptor_name":"Liver Diseases","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D008107","descriptor_name":"Liver Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008111","descriptor_name":"Liver Function Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008113","descriptor_name":"Liver Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D008113","descriptor_name":"Liver Neoplasms","qualifier_ui":"Q000556","qualifier_name":"secondary","is_major_topic":false},{"descriptor_ui":"D008113","descriptor_name":"Liver Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"pmid:1311871","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1311871","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgery","raw_type":"Journal Article"},{"id":"pmh:oai:iris.unil.ch:iris/92962","doi":null,"is_oa":false,"landing_page_url":"https://iris.unil.ch/handle/iris/92962","pdf_url":null,"source":{"id":"https://openalex.org/S7407055444","display_name":"IRIS","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"},{"id":"pmh:oai:serval.unil.ch:BIB_4FBEB2479985","doi":null,"is_oa":false,"landing_page_url":"https://serval.unil.ch/notice/serval:BIB_4FBEB2479985","pdf_url":null,"source":{"id":"https://openalex.org/S4306401797","display_name":"SERVAL (Universit\u00e9 de Lausanne)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210093590","host_organization_name":"Swiss School of Archaeology in Greece","host_organization_lineage":["https://openalex.org/I4210093590"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Surgery, vol. 111, no. 3, pp. 251-9","raw_type":"info:eu-repo/semantics/article"},{"id":"mag:3415277","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1311871","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2009453703","https://openalex.org/W2471199165","https://openalex.org/W2038419698","https://openalex.org/W1972039904","https://openalex.org/W2085959194","https://openalex.org/W2411075628","https://openalex.org/W2412784944","https://openalex.org/W2405909731","https://openalex.org/W2081828836","https://openalex.org/W2411912919"],"abstract_inverted_index":{"BACKGROUND:":[0],"A":[1],"consecutive":[2],"series":[3,120],"of":[4,15,51,83,183,222],"50":[5],"patients":[6],"who":[7],"submitted":[8],"to":[9,80,97,165,197,211,217],"53":[10],"hepatic":[11,56,184],"resections":[12,210],"with":[13,32],"use":[14],"continuous":[16],"normothermic":[17],"liver":[18,42,71,84,139,209],"ischemia":[19],"is":[20,189,205],"reported.":[21],"METHODS:":[22],"Portal":[23],"triad":[24],"clamping":[25,37,204],"has":[26],"been":[27],"used":[28],"in":[29,46,58,76,113,117,123,137,187,200],"28":[30],"cases,":[31],"associated":[33],"inferior":[34],"vena":[35],"caval":[36],"above":[38],"and":[39,102,121,126,142,152,224],"below":[40],"the":[41,52,66,81,118,219],"(hepatic":[43],"vascular":[44,203],"exclusion)":[45],"25":[47],"patients.":[48],"The":[49],"size":[50],"tumor":[53],"required":[54],"major":[55],"resection":[57],"38":[59],"cases":[60],"(71.7%).":[61],"Malignant":[62],"tumors":[63],"(83%)":[64],"were":[65,74],"most":[67],"common":[68],"indication":[69],"for":[70,191,207],"resection.":[72],"Patients":[73],"placed":[75],"three":[77],"groups":[78],"according":[79],"duration":[82],"ischemia:":[85],"group":[86,94,103,124],"A,":[87],"less":[88],"than":[89],"30":[90,96],"minutes":[91,99,195,199],"(9":[92],"patients);":[93,101],"B,":[95],"60":[98,105,194],"(29":[100],"C,":[104],"or":[106,176],"more":[107],"(15":[108],"patients).":[109],"RESULTS:":[110],"No":[111,132],"differences":[112],"mortality":[114],"rates":[115],"(5.7%":[116],"entire":[119],"0%":[122],"C)":[125],"morbidity":[127],"rate":[128],"could":[129],"be":[130,218],"shown.":[131],"significant":[133],"difference":[134],"was":[135,167],"found":[136],"postoperative":[138,172],"test":[140],"results,":[141],"no":[143],"persistent":[144],"alteration":[145],"remained":[146],"thereafter.":[147],"Liver":[148,163],"biopsy":[149],"at":[150,192],"6":[151],"12":[153],"months":[154],"after":[155],"operation":[156],"did":[157],"not":[158],"reveal":[159],"any":[160],"chronic":[161],"damage.":[162],"capability":[164],"regenerate":[166],"maintained":[168],"as":[169],"documented":[170],"by":[171],"computerized":[173],"tomography":[174],"scan":[175],"magnetic":[177],"resonance":[178],"imaging.":[179],"CONCLUSIONS:":[180],"Because":[181],"interruption":[182],"blood":[185,213],"flow":[186],"normothermia":[188],"safe":[190],"least":[193],"(up":[196],"85":[198],"this":[201],"study),":[202],"recommended":[206],"hazardous":[208],"minimize":[212],"loss,":[214],"which":[215],"appears":[216],"main":[220],"factor":[221],"death":[223],"morbidity.":[225]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":9},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":7},{"year":2012,"cited_by_count":14}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
