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Intermittent Pringle Versus Continuous Half-Pringle Maneuver for Laparoscopic Liver Resections of Tumors in Segment 7
Authors:Yu Zhang  Xiangyu Lu  Jian Xu  Hongji Yang  Xiaofan Deng  Kai Chen  Yunfei Chen
Affiliation:1.The Third Department of Hepatobiliary Surgery, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, School of Medicine,University of Electronic Science and Technology of China,Chengdu,People’s Republic of China
Abstract:
Segment 7 is considered an unfavorable portion for laparoscopic hepatectomy because of technical difficulties in exposure and controlling bleeding. We compared intermittent Pringle with continuous half-Pringle maneuver in laparoscopic liver resections of tumors in segment 7. A retrospective analysis was conducted in a total of 36 consecutive patients with tumors in segment 7 undergoing laparoscopic liver resections between July 2011 and February 2016 (16 in the Pringle group versus 20 in the half-Pringle group). The two groups were well matched in baseline characteristics. The operative time (274.5?±?34.3 versus 237.6?±?41.8 min), overall declamping time (28.4?±?8.6 versus 2.3?±?2.5 min), and ischemic duration (69.7?±?16.5 versus 52.7?±?13.2 min) were significantly longer in the Pringle group (P?P?P?
Keywords:
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