Liver Resection Without Pedicle Clamping: Feasibility and Need for “Salvage Clamping”. Looking for the Right Clamping Policy. Analysis of 512 Consecutive Resections

Background Pedicle clamping during liver resection (LR) is debated. The purpose of this study is to validate non-clamping policy across a large series of LR and to evaluate the need for salvage clamping (SC) and its outcomes. Methods Five hundred twelve consecutive LR without initial pedicle clampin...

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Veröffentlicht in:	Journal of gastrointestinal surgery 2011-10, Vol.15 (10), p.1820-1828
Hauptverfasser:	Viganò, Luca, Jaffary, Syed A. A., Ferrero, Alessandro, Russolillo, Nadia, Langella, Serena, Capussotti, Lorenzo
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aged, 80 and over Bile Blood Loss, Surgical - prevention & control Chemotherapy Clinical Protocols Constriction Feasibility Studies Female Gastroenterology Hemostasis, Surgical Hepatectomy Humans Hypertension Liver cirrhosis Liver Diseases - complications Liver Diseases - pathology Liver Diseases - surgery Male Medicine Medicine & Public Health Middle Aged Multivariate analysis Original Article Patient Selection Patients Retrospective Studies Surgery Surgical techniques Treatment Outcome Veins & arteries Young Adult
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Zusammenfassung:	Background Pedicle clamping during liver resection (LR) is debated. The purpose of this study is to validate non-clamping policy across a large series of LR and to evaluate the need for salvage clamping (SC) and its outcomes. Methods Five hundred twelve consecutive LR without initial pedicle clamping performed between 2004 and 2009 were analyzed. Results Among 512 LR (171 major hepatectomies), 90.2% were completed without clampage. Fifty (9.8%) required SC. Blood loss were higher in SC group (555 vs. 175 mL, p
ISSN:	1091-255X 1873-4626
DOI:	10.1007/s11605-011-1625-4