Inflow control may safely reduce blood loss in laparoscopic subsegmentectomy of liver
A recent study scrutinized various inflow control methods used during laparoscopic subsegmentectomy in liver resections to determine their impact on patient outcomes. This study was published in BMC Surgery by Wang and colleagues. The study offers clinicians substantial evidence that both the half-Pringle and Pringle maneuvers are safe and effective methods for inflow control during laparoscopic liver resections. Conducted between October 2010 and December 2020, the study evaluated 133 patients who underwent laparoscopic subsegmentectomy under the care of a single surgeon at a specific institute. The study aimed to compare perioperative and long-term outcomes associated with three different inflow control techniques.
The 133 patients were categorized into three groups based on the inflow control method used: no inflow control (49 patients), half-Pringle maneuver (46 patients), and Pringle maneuver (38 patients). Analysis revealed differences among the groups, notably a lower proportion of patients with cirrhosis in the half-Pringle maneuver group, fewer previous abdominal or liver surgeries in the same group, and more anterolateral segment tumors in the no inflow control group.
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