Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience

被引:0
|
作者
Wang, Hao-Ping [1 ]
Hou, Teng-Yuan [1 ]
Li, Wei-Feng [1 ]
Yong, Chee-Chien [1 ]
机构
[1] Chang Gung Mem Hosp, Dept Surg, Div Gen Surg, 123 Dapi Rd, Kaohsiung 833401, Taiwan
关键词
Inflow control; Laparoscopic liver resection; Pringle maneuver; HEMIHEPATIC VASCULAR OCCLUSION; INTERMITTENT PRINGLE MANEUVER; HEPATIC RESECTION; HEPATOCELLULAR-CARCINOMA; GLISSONIAN APPROACH; BLOOD-LOSS; HEPATECTOMY; ISCHEMIA; COMPLICATIONS; PROPOSAL;
D O I
10.1186/s12893-023-02282-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Several techniques have been developed to reduce blood loss in liver resection. The half-Pringle and Pringle maneuvers are commonly used for inflow control. This study compared the outcomes of different inflow control techniques in laparoscopic subsegmentectomy.Methods From October 2010 to December 2020, a total of 362 laparoscopic liver resections were performed by a single surgeon (C.C. Yong) in our institute. We retrospectively enrolled 133 patients who underwent laparoscopic subsegmentectomy during the same period. Perioperative and long-term outcomes were analyzed.Results The 133 patients were divided into 3 groups: no inflow control (n = 49), half-Pringle maneuver (n = 46), and Pringle maneuver (n = 38). A lower proportion of patients with cirrhosis were included in the half-Pringle maneuver group (P = .02). Fewer patients in the half-Pringle maneuver group had undergone previous abdominal (P = .01) or liver (P = .02) surgery. The no inflow control group had more patients with tumors located in the anterolateral segments (P = .001). The no inflow control group had a shorter operation time (P < .001) and less blood loss (P = .03). The need for blood transfusion, morbidity, and hospital days did not differ among the 3 groups. The overall survival did not significantly differ among the 3 groups (P = .89).Conclusions The half-Pringle and Pringle maneuvers did not affect perioperative or long-term outcomes during laparoscopic subsegmentectomy. The inflow control maneuvers could be safely performed in laparoscopic subsegmentectomy.
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页数:9
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