Laparoscopic Liver Resection Without Portal Clamping: a Prospective Evaluation

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2008 Jul 16

PMID 18622563

Citations 8

Authors

Carlo Pulitano

Marco Catena

Marcella Arru

Eleonora Guzzetti

Laura Comotti

Gianfranco Ferla

Luca Aldrighetti

Affiliations

Soon will be listed here.

Abstract

Background: Previous comparative studies have demonstrated that laparoscopic liver resection is associated with more frequent use and longer duration of portal camping than open liver resection, a fact that may partially explain the improvement in operative blood loss reported by most series of laparoscopic liver resection. The aim of this prospective study was to evaluate the real need for portal clamping in laparoscopic liver surgery.

Study Design: Surgical outcomes of 40 consecutive patients who underwent laparoscopic liver resection for benign and malignant lesions from September 2005 to August 2007 were evaluate. Portal clamping was not systematically used.

Results: No patient required blood transfusion and median blood loss was 160 ml (range 100-340 ml). Mean operating time was 267 min (range 220-370 min) and portal clamping was necessary in only one patient. Surgical complications included two grade I complication, three grade II, and one case of postoperative hemorrhage (grade III).

Conclusions: Laparoscopic liver surgery without clamping can be performed safely with low blood loss.

Citing Articles

Intraoperative monitoring of stroke volume variation versus central venous pressure in laparoscopic liver surgery: a randomized prospective comparative trial.

Ratti F, Cipriani F, Reineke R, Catena M, Paganelli M, Comotti L HPB (Oxford). 2016; 18(2):136-144.

PMID: 26902132 PMC: 4814622. DOI: 10.1016/j.hpb.2015.09.005.

Safety and feasibility of laparoscopic liver resection with associated lymphadenectomy for intrahepatic cholangiocarcinoma: a propensity score-based case-matched analysis from a single institution.

Ratti F, Cipriani F, Ariotti R, Gagliano A, Paganelli M, Catena M Surg Endosc. 2015; 30(5):1999-2010.

PMID: 26194257 DOI: 10.1007/s00464-015-4430-4.

Laparoscopic major hepatectomies: current trends and indications. A comparison with the open technique.

Ratti F, Cipriani F, Ariotti R, Giannone F, Paganelli M, Aldrighetti L Updates Surg. 2015; 67(2):157-67.

PMID: 26133297 DOI: 10.1007/s13304-015-0312-5.

Laparoscopic vs. open liver resection for hepatocellular carcinoma of cirrhotic liver: a case-control study.

Memeo R, DeAngelis N, Compagnon P, Salloum C, Cherqui D, Laurent A World J Surg. 2014; 38(11):2919-26.

PMID: 24912628 DOI: 10.1007/s00268-014-2659-z.

Laparoendoscopic single site (LESS) surgery for left-lateral hepatic sectionectomy as an alternative to traditional laparoscopy: case-matched analysis from a single center.

Aldrighetti L, Ratti F, Catena M, Pulitano C, Ferla F, Cipriani F Surg Endosc. 2012; 26(7):2016-22.

PMID: 22278101 DOI: 10.1007/s00464-012-2147-1.

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