Changes in Hepatic Blood Flow and Liver Function during Closed Abdominal Hyperthermic Intraperitoneal Chemotherapy following Cytoreduction Surgery

Figure 1

Hepatic blood flow at the middle hepatic vein measured by transesophageal echocardiography. (a) Normal triphasic Doppler signal of HBF from the MHV at time 2 (end of CRS, before abdominal filling). (b) Nonpulsatile Doppler signal at time 3 (end of HIPEC, before abdominal emptying). (c) After emptying abdominal cavity, at time 4 (end of procedure, after abdominal emptying and removal of abdominal drainage), HBF returns to normal Doppler signal waveform. HBF: hepatic blood flow; MHV: middle hepatic vein.

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