HPB Surgery / 2012 / Article / Tab 2 / Review Article
Anesthetic Considerations in Hepatectomies under Hepatic Vascular Control Table 2 Clinical series of hepatectomies performed under vascular occlusion techniques.
Technique-study No. of patients Type of hepatectomya Clamp time (min) Morbidity/mortality (%) Transfusions (%) CVP (mmHg) I.Pb Torzilli et al. [36 ] 329 Major 71% 69 26/0 3.9 N/A Nuzzo et al. [125 ] 120 Major 38% 39 N/A 60 <5 Omar Giovanardi et al. [126 ] 72 Major 81% N/A 24/7 57 N/A THVEc Smyrniotis et al. [54 ] 18 Major 32 33/0 30 N/A Figueras et al. [124 ] 39 N/A 41 N/A 4 6.4 SHVEd Smyrniotis et al. [54 ] 20 Major 38 25/0 15 <5 Zhou et al. [58 ] 125 N/A 21.7 39.2/0 32 4.4 Fu et al. [127 ] 246 Major N/A 24.8/0 24 2–5 Figueras et al. [124 ] 41 N/A 47 N/A 6 7.2 Pringle-IPMe Wang et al. [98 ] 114 N/A N/A N/A 13.1 5–10 Zhou et al. [58 ] 110 N/A 22.5 51.8/1.8 80.9 4.6 Ishizaki et al. [128 ] 380 Major 39.4% 62 23.9/0 34 N/A
a Major hepatectomy is defined as resection of more than two segments according to Couinaud’s classification.
b I.P: ischemic preconditioning.
c THVE: total hepatic vascular exclusion.
d SHVE: selective hepatic vascular exclusion.
e IPM: intermittent pringle maneuver.