Review Article

Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control

Table 1

Hemodynamic changes on clinical series of hepatectomies induced by hepatic vascular occlusion techniques.

TechniqueHaemodynamic changes
Heart rateMean arterial blood pressureCardiac index

Inflow and outflow occlusion THVE*
 Redai et al.a [16]↑ 25% 17,64% 50%
 Smyrniotis et al.a [123]↑ 21% 23% 50%
 Figueras et al.a [124]↑ 18,75% 20,48% 60%
 Smyrniotis et al. [54]↑ 29%↑ 22% 50%
SHVE**
 Figueras et al.a [124]↑ 2,46%↑ 3,79%N/A
 Smyrniotis et al. [54]↑ 5%↑ 5,55% 10%

Inflow occlusionPringle
 Redai et al.a [16]↑ 6.25%↑ 15% 10%
 Smyrniotis et al.a [123]↑ 12%↑ 16% 10%
 Figueras et al.a [124]↑ 8.83%↑ 13.85%N/A

aValues expressing % change of heart rate, mean arterial blood pressure, and cardiac index during clamping and uclamping of hepatic vessels.
*THVE: total hepatic vascular exclusion.
**SHVE: selective hepatic vascular exclusion.
↑: increase.
: reduction.