Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience
Abstract 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 Octo...
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02282-2 |
| _version_ | 1797398251222073344 |
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| author | Hao-Ping Wang Teng-Yuan Hou Wei-Feng Li Chee-Chien Yong |
| author_facet | Hao-Ping Wang Teng-Yuan Hou Wei-Feng Li Chee-Chien Yong |
| author_sort | Hao-Ping Wang |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-09T01:21:56Z |
| format | Article |
| id | doaj.art-e219653dceb443e8846a786afffa8947 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-09T01:21:56Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-e219653dceb443e8846a786afffa89472023-12-10T12:05:37ZengBMCBMC Surgery1471-24822023-12-012311910.1186/s12893-023-02282-2Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experienceHao-Ping Wang0Teng-Yuan Hou1Wei-Feng Li2Chee-Chien Yong3Department of Surgery, Division of General Surgery, Chang Gung Memorial Hospital, KaohsiungDepartment of Surgery, Division of General Surgery, Chang Gung Memorial Hospital, KaohsiungDepartment of Surgery, Division of General Surgery, Chang Gung Memorial Hospital, KaohsiungDepartment of Surgery, Division of General Surgery, Chang Gung Memorial Hospital, KaohsiungAbstract 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.https://doi.org/10.1186/s12893-023-02282-2Inflow controlLaparoscopic liver resectionPringle maneuver |
| spellingShingle | Hao-Ping Wang Teng-Yuan Hou Wei-Feng Li Chee-Chien Yong Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience BMC Surgery Inflow control Laparoscopic liver resection Pringle maneuver |
| title | Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience |
| title_full | Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience |
| title_fullStr | Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience |
| title_full_unstemmed | Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience |
| title_short | Inflow control can be safely used in laparoscopic subsegmentectomy of the liver: a single-center 10-year experience |
| title_sort | inflow control can be safely used in laparoscopic subsegmentectomy of the liver a single center 10 year experience |
| topic | Inflow control Laparoscopic liver resection Pringle maneuver |
| url | https://doi.org/10.1186/s12893-023-02282-2 |
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