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Effect of the intermittent Pringle maneuver on liver damage after hepatectomy: a retrospective cohort study.


ABSTRACT:

Background

The Pringle maneuver (PM) interrupts the blood flow through the hepatic artery and portal vein to help control bleeding. This study analyzes the effects of the intermittent Pringle maneuver (IPM) on the surgical process and postoperative liver injury.

Methods

This study retrospectively evaluated 182 hepatocellular carcinoma patients who underwent hepatectomy. In the IPM group, hepatic blood flow was intermittently interrupted via clamping, with cycles of 10 minutes of inflow occlusion followed by 5 minutes of reperfusion that were repeated until the end of the surgery. In the non-IPM group, liver resection was performed without hepatic vascular blockage.

Results

For postoperative complications, the incidence rates of ascites and pleural effusion in the IPM

SUBMITTER: Wei X 

PROVIDER: S-EPMC6693131 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature