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World Journal of Surgery
Published in: World Journal of Surgery 7/2003

01-07-2003 | Original Scientific Reports

Selective Hepatic Vascular Exclusion versus Pringle Maneuver in Major Liver Resections: Prospective Study

Authors: Vassilios E. Smyrniotis, M.D., Ph.D., Georgia G. Kostopanagiotou, M.D., Ph.D., John C. Contis, M.D., Ph.D., Charalampos I. Farantos, M.D., Dionisios C. Voros, M.D., Ph.D., Dimitrios C. Kannas, M.D., Ph.D., John S. Koskinas, M.D., Ph.D.

Published in: World Journal of Surgery | Issue 7/2003

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Abstract

Selective hepatic vascular exclusion (SHVE) and the Pringle maneuver are two methods used to control bleeding during hepatectomy. They are compared in a prospective randomized study, where 110 patients undergoing major liver resection were randomly allocated to the SHVE group or the Pringle group. Data regarding the intraoperative and postoperative courses of the patients are analyzed. Intraoperative blood loss and transfusion requirements were significantly decreased in the SHVE group, and postoperative liver function was better in that group. Although there was no difference between the two groups regarding the postoperative complications rate, patients offered the Pringle maneuver had a significantly longer hospital stay. The application of SHVE did not prolong the warm ischemia time or the total operating time. It is evident from the present study that SHVE performed by experienced surgeons is as safe as the Pringle maneuver and is well tolerated by the patients. It is much more effective than the Pringle maneuver for controlling intraoperative bleeding, and it is associated with better postoperative liver function and shorter hospital stay.
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Metadata
Title
Selective Hepatic Vascular Exclusion versus Pringle Maneuver in Major Liver Resections: Prospective Study
Authors
Vassilios E. Smyrniotis, M.D., Ph.D.
Georgia G. Kostopanagiotou, M.D., Ph.D.
John C. Contis, M.D., Ph.D.
Charalampos I. Farantos, M.D.
Dionisios C. Voros, M.D., Ph.D.
Dimitrios C. Kannas, M.D., Ph.D.
John S. Koskinas, M.D., Ph.D.
Publication date
01-07-2003
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 7/2003
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-003-6978-8

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