[Vascular exclusion of the liver]

Vascular exclusion of the liver (VEL) is a comparatively new and seldom used procedure. It is developed and practically implemented along with liver transplantation, and corresponds to the nonhepatic phase of the latter. VEL reduces considerably the risks of intraoperative hemorrhage, and is indicated in handling large and vascular tumors located in the vicinity of vessels. Its safe duration may reach up to 90 min, and is free of serious postoperative complications. VEL allows for broadening the scope of liver resection, and reduction of intra- and postoperative hemotransfusions.