Review Article

Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control

Table 2

Clinical series of hepatectomies performed under vascular occlusion techniques.

Technique-studyNo. of patientsType of hepatectomyaClamp time (min)Morbidity/mortality (%)Transfusions (%)CVP (mmHg)

I.Pb
 Torzilli et al. [36]329Major 71%6926/03.9N/A
 Nuzzo et al. [125]120Major 38%39N/A60<5
 Omar Giovanardi et al. [126]72Major 81%N/A24/757N/A
THVEc
 Smyrniotis et al. [54]18Major3233/030N/A
 Figueras et al. [124]39N/A41N/A46.4
SHVEd
 Smyrniotis et al. [54]20Major3825/015<5
 Zhou et al. [58]125N/A21.739.2/0324.4
 Fu et al. [127]246MajorN/A24.8/0242–5
 Figueras et al. [124]41N/A47N/A67.2
Pringle-IPMe
 Wang et al. [98]114N/AN/AN/A13.15–10
 Zhou et al. [58]110N/A22.551.8/1.880.94.6
 Ishizaki et al. [128]380Major 39.4%6223.9/034N/A

aMajor hepatectomy is defined as resection of more than two segments according to Couinaud’s classification.
bI.P: ischemic preconditioning.
cTHVE: total hepatic vascular exclusion.
dSHVE: selective hepatic vascular exclusion.
eIPM: intermittent pringle maneuver.