Infrahepatic Inferior Vena Cava Clamping does not Increase the Risk of Pulmonary Embolism Following Hepatic Resection.

ABSTRACT:

Background

Infrahepatic inferior vena cava (IVC) clamping reduces central venous pressure. However, controversies remain regarding its impact on postoperative complications, particularly, the incidence of postoperative pulmonary embolism (PE). The aim of the study was to determine the impact of IVC clamping on the incidence of PE in patients undergoing hepatectomy.

Methods

A pooled analysis of five prospective trials on patients who underwent hepatic resection over a period of 10 years was performed. Patients with infrahepatic IVC clamping were compared to patients without infrahepatic IVC clamping. Outcomes were studied by univariate and multivariate analyses.

Results

Of 505 included patients, 141 patients had IVC clamping and 364 patients served as control group. Th

SUBMITTER: Birgin E 

PROVIDER: S-EPMC8321974 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature