Infrahepatic inferior vena cava clamping combined with Pringle maneuver leads to greater reduction in central venous pressure, reduced intraoperative blood loss, and decreased blood transfusion during hepatectomy compared to Pringle maneuver alone. Patients in the combined technique group also experienced shorter hospital stays and lower overall complication rates without affecting operative times. This meta-analysis suggests that utilizing infrahepatic inferior vena cava clamping with Pringle maneuver is beneficial in managing intraoperative bleeding and improving perioperative outcomes in liver resection.
Systematic Review by Patel A, Tan J (…) Satyadas T et 3 al. in Langenbecks Arch Surg
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