Table of Contents Author Guidelines Submit a Manuscript
BioMed Research International
Volume 2013, Article ID 297971, 8 pages
http://dx.doi.org/10.1155/2013/297971
Research Article

Efficacy and Safety of Hepatectomy Performed with Intermittent Portal Triad Clamping with Low Central Venous Pressure

1Department of Surgery, School of Medicine, Farabi Hospital, Karadeniz Technical University, 61080 Trabzon, Turkey
2Department of Nursing, School of Health Sciences, Farabi Hospital, Karadeniz Technical University, 61080 Trabzon, Turkey
3Department of Biochemistry, School of Medicine, Farabi Hospital, Karadeniz Technical University, 61080 Trabzon, Turkey
4Department of Anesthesiology, School of Medicine, Farabi Hospital, Karadeniz Technical University, 61080 Trabzon, Turkey
5Department of Biostatistics, School of Medicine, Hacettepe University, Sıhhiye, 06100 Ankara, Turkey

Received 7 October 2013; Accepted 14 November 2013

Academic Editor: Engin Erturk

Copyright © 2013 Serdar Topaloglu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. D. M. Nagorney, J. A. van Heerden, D. M. Ilstrup, and M. A. Adson, “Primary hepatic malignancy: surgical management and determinants of survival,” Surgery, vol. 106, no. 4, pp. 740–749, 1989. View at Google Scholar · View at Scopus
  2. M. Makuuchi, T. Takayama, P. Gunven, T. Kosuge, S. Yamazaki, and H. Hasegawa, “Restrictive versus liberal blood transfusion policy for hepatectomies in cirrhotic patients,” World Journal of Surgery, vol. 13, no. 5, pp. 644–648, 1989. View at Google Scholar · View at Scopus
  3. G. G. Jamieson, L. Corbel, J. P. Campion, and B. Launois, “Major liver resection without a blood transfusion: is it a realistic objective?” Surgery, vol. 112, no. 1, pp. 32–36, 1992. View at Google Scholar · View at Scopus
  4. J. V. Sitzmann and P. S. Greene, “Perioperative predictors of morbidity following hepatic resection for neoplasm: a multivariate analysis of a single surgeon experience with 105 patients,” Annals of Surgery, vol. 219, no. 1, pp. 13–17, 1994. View at Google Scholar · View at Scopus
  5. M. Shimada, T. Matsumata, K. Akazawa et al., “Estimation of risk of major complications after hepatic resection,” The American Journal of Surgery, vol. 167, no. 4, pp. 399–403, 1994. View at Publisher · View at Google Scholar · View at Scopus
  6. D. A. Kooby, J. Stockman, L. Ben-Porat et al., “Influence of transfusions on perioperative and long-term outcome in patients following hepatic resection for colorectal metastases,” Annals of Surgery, vol. 237, no. 6, pp. 860–870, 2003. View at Publisher · View at Google Scholar · View at Scopus
  7. V. Smyrniotis, C. Farantos, G. Kostopanagiotou, and N. Arkadopoulos, “Vascular control during hepatectomy: review of methods and results,” World Journal of Surgery, vol. 29, no. 11, pp. 1384–1396, 2005. View at Publisher · View at Google Scholar · View at Scopus
  8. J. Belghiti, R. Noun, E. Zante, T. Ballet, and A. Sauvanet, “Portal triad clamping or hepatic vascular exclusion for major liver resection: a controlled study,” Annals of Surgery, vol. 224, no. 2, pp. 155–161, 1996. View at Publisher · View at Google Scholar · View at Scopus
  9. S. Topaloglu, I. Inci, A. Calik et al., “Intensive pulmonary care after liver surgery: a retrospective survey from a single center,” Transplantation Proceedings, vol. 45, no. 3, pp. 986–992, 2013. View at Publisher · View at Google Scholar
  10. H. Bismuth, D. Houssin, and D. Castaing, “Major and minor segmentectomies “reglus” in liver surgery,” World Journal of Surgery, vol. 6, no. 1, pp. 10–24, 1982. View at Google Scholar · View at Scopus
  11. D. Dindo, N. Demartines, and P. A. Clavien, “Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey,” Annals of Surgery, vol. 240, no. 2, pp. 205–213, 2004. View at Publisher · View at Google Scholar · View at Scopus
  12. C. Huguet, A. Gavelli, P. A. Chieco et al., “Liver ischemia for hepatic resection: where is the limit?” Surgery, vol. 111, no. 3, pp. 251–259, 1992. View at Google Scholar · View at Scopus
  13. L. T. Hoekstra, J. D. van Trigt, M. J. Reiniers, O. R. Busch, D. J. Gouma, and T. M. van Gulik, “Vascular occlusion or not during liver resection: the continuing story,” Digestive Surgery, vol. 29, no. 1, pp. 35–42, 2012. View at Publisher · View at Google Scholar · View at Scopus
  14. E. Delva, Y. Camus, B. Nordlinger et al., “Vascular occlusions for liver resections. Operative management and tolerance to hepatic ischemia: 142 cases,” Annals of Surgery, vol. 209, no. 2, pp. 211–218, 1989. View at Google Scholar · View at Scopus
  15. J. H. Pringle, “V. Notes on the arrest of hepatic haemorrhage due to trauma,” Annals of Surgery, vol. 48, no. 4, pp. 541–549, 1909. View at Google Scholar
  16. E. K. Abdalla, R. Noun, and J. Belghiti, “Hepatic vascular occlusion: which technique?” Surgical Clinics of North America, vol. 84, no. 2, pp. 563–585, 2004. View at Publisher · View at Google Scholar · View at Scopus
  17. B. Detroz, P. Honoré, C. Denoiseux, and N. Jacquet, “Biology, physiology and physiopathology of clamping during liver surgery,” Hepato-Gastroenterology, vol. 45, no. 20, pp. 357–363, 1998. View at Google Scholar · View at Scopus
  18. F. Decailliot, D. Cherqui, B. Leroux et al., “Effects of portal triad clamping on haemodynamic conditions during laparoscopic liver resection,” The British Journal of Anaesthesia, vol. 87, no. 3, pp. 493–496, 2001. View at Publisher · View at Google Scholar · View at Scopus
  19. Y. Midorikawa, K. Kubota, T. Takayama et al., “A comparative study of postoperative complications after hepatectomy in patients with and without chronic liver disease,” Surgery, vol. 126, no. 3, pp. 484–491, 1999. View at Publisher · View at Google Scholar · View at Scopus
  20. L. Hannoun, D. Borie, E. Delva, D. Jones, B. Nordlinger, and R. Parc, “Liver resection with normothermic ischaemia exceeding 1 h,” The British Journal of Surgery, vol. 80, no. 9, pp. 1161–1165, 1993. View at Google Scholar · View at Scopus
  21. J. M. van Buijtenen, B. Lamme, and E. J. Hesselink, “Spontaneous splenic rupture during Pringle maneuver in liver surgery,” World Journal of Hepatology, vol. 2, no. 6, pp. 243–245, 2010. View at Publisher · View at Google Scholar
  22. N. C. Teoh, “Hepatic ischemia reperfusion injury: contemporary perspectives on pathogenic mechanisms and basis for hepatoprotection-the good, bad and deadly,” Journal of Gastroenterology and Hepatology, vol. 26, supplement 1, pp. 180–187, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. H. Jaeschke, “Mechanisms of reperfusion injury after warm ischemia of the liver,” Journal of Hepato-Biliary-Pancreatic Surgery, vol. 5, no. 4, pp. 402–408, 1998. View at Google Scholar · View at Scopus
  24. A. B. Lentsch, A. Kato, H. Yoshidome, K. M. McMasters, and M. J. Edwards, “Inflammatory mechanisms and therapeutic strategies for warm hepatic ischemia/reperfusion injury,” Hepatology, vol. 32, no. 2, pp. 169–173, 2000. View at Google Scholar · View at Scopus
  25. J. R. Klune and A. Tsung, “Molecular biology of liver ischemia/reperfusion injury: established mechanisms and recent advancements,” Surgical Clinics of North America, vol. 90, no. 4, pp. 665–677, 2010. View at Publisher · View at Google Scholar · View at Scopus
  26. S. Agrawal and J. Belghiti, “Oncologic resection for malignant tumors of the liver,” Annals of Surgery, vol. 253, no. 4, pp. 656–665, 2011. View at Publisher · View at Google Scholar · View at Scopus
  27. P. A. Clavien, S. Yadav, D. Sindram, and R. C. Bentley, “Protective effects of ischemic preconditioning for liver resection performed under inflow occlusion in humans,” Annals of Surgery, vol. 232, no. 2, pp. 155–162, 2000. View at Publisher · View at Google Scholar · View at Scopus
  28. N. Selzner, H. Rudiger, R. Graf, and P. Clavien, “Protective strategies against ischemic injury of the liver,” Gastroenterology, vol. 125, no. 3, pp. 917–936, 2003. View at Publisher · View at Google Scholar · View at Scopus
  29. A. Choukèr, A. Martignoni, R. Schauer et al., “Beneficial effects of ischemic preconditioning in patients undergoing hepatectomy: the role of neutrophils,” Archives of Surgery, vol. 140, no. 2, pp. 129–136, 2005. View at Publisher · View at Google Scholar · View at Scopus
  30. K. Man, S. Fan, I. O. L. Ng, C. Lo, C. Liu, and J. Wong, “Prospective evaluation of Pringle maneuver in hepatectomy for liver tumors by a randomized study,” Annals of Surgery, vol. 226, no. 6, pp. 704–713, 1997. View at Publisher · View at Google Scholar · View at Scopus
  31. J. Belghiti, R. Noun, R. Malafosse et al., “Continuous versus intermittent portal triad clamping for liver resection: a controlled study,” Annals of Surgery, vol. 229, no. 3, pp. 369–375, 1999. View at Google Scholar · View at Scopus
  32. K. Man, S. T. Fan, I. O. L. Ng et al., “Tolerance of the liver to intermittent Pringle maneuver in hepatectomy for liver tumors,” Archives of Surgery, vol. 134, no. 5, pp. 533–539, 1999. View at Publisher · View at Google Scholar · View at Scopus
  33. G. Torzilli, M. Makuuchi, Y. Midorikawa et al., “Liver resection without total vascular exclusion: hazardous or beneficial? An analysis of our experience,” Annals of Surgery, vol. 233, no. 2, pp. 167–175, 2001. View at Publisher · View at Google Scholar · View at Scopus
  34. T. Takayama, M. Makuuchi, K. Inoue, Y. Sakamoto, K. Kubota, and Y. Harihara, “Selective and unselective clamping in cirrhotic liver,” Hepato-Gastroenterology, vol. 45, no. 20, pp. 376–380, 1998. View at Google Scholar · View at Scopus
  35. J. A. Melendez, V. Arslan, M. E. Fischer et al., “Perioperative outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfusion, and the risk of postoperative renal dysfunction,” Journal of the American College of Surgeons, vol. 187, no. 6, pp. 620–625, 1998. View at Publisher · View at Google Scholar · View at Scopus
  36. G. Torzilli, M. Makuuchi, K. Inoue et al., “No-mortality liver resection for hepatocellular carcinoma in cirrhotic and noncirrhotic patients: is there a way? A prospective analysis of our approach,” Archives of Surgery, vol. 134, no. 9, pp. 984–992, 1999. View at Publisher · View at Google Scholar · View at Scopus
  37. J. D. Cunningham, Y. Fong, C. Shriver, J. Melendez, W. L. Marx, and L. H. Blumgart, “One hundred consecutive hepatic resections: blood loss, transfusion, and operative technique,” Archives of Surgery, vol. 129, no. 10, pp. 1050–1056, 1994. View at Google Scholar · View at Scopus
  38. W. D. Wang, L. J. Liang, X. Q. Huang, and X. Y. Yin, “Low central venous pressure reduces blood loss in hepatectomy,” World Journal of Gastroenterology, vol. 12, no. 6, pp. 935–939, 2006. View at Google Scholar · View at Scopus
  39. E. K. Chouillard, A. A. Gumbs, and D. Cherqui, “Vascular clamping in liver surgery: physiology, indications and techniques,” Annals of Surgical Innovation and Research, vol. 4, article 2, 2010. View at Publisher · View at Google Scholar · View at Scopus
  40. S. Topaloglu, O. Abbasoglu, A. Ayhan, C. Sokmensuer, and K. Kilinc, “Antiapoptotic and protective effects of roscovitine on ischemia-reperfusion injury of the rat liver,” Liver International, vol. 23, no. 4, pp. 300–307, 2003. View at Google Scholar · View at Scopus
  41. M. Sahin, F. M. Avsar, H. Ozel et al., “The effects of dimethyl sulfoxide on liver damage caused by ischemia-reperfusion,” Transplantation Proceedings, vol. 36, no. 9, pp. 2590–2592, 2004. View at Publisher · View at Google Scholar · View at Scopus
  42. S. Topaloglu, E. Izci, H. Ozel et al., “Effects of TVE application during 70% hepatectomy on regeneration capacity of rats,” Journal of Surgical Research, vol. 124, no. 1, pp. 139–145, 2005. View at Publisher · View at Google Scholar · View at Scopus
  43. G. Darilmaz, S. Topaloglu, E. Topaloglu et al., “Evaluation of liver damage after application of TVE in the rat model,” Transplantation Proceedings, vol. 37, no. 10, pp. 4550–4552, 2005. View at Publisher · View at Google Scholar · View at Scopus
  44. P. Clavien, M. Selzner, H. A. Rüdiger et al., “A prospective randomized study in 100 consecutive patients undergoing major liver resection with versus without ischemic preconditioning,” Annals of Surgery, vol. 238, no. 6, pp. 843–850, 2003. View at Google Scholar · View at Scopus
  45. Y. Sugiyama, Y. Ishizaki, H. Imamura, H. Sugo, J. Yoshimoto, and S. Kawasaki, “Effects of intermittent Pringle's manoeuvre on cirrhotic compared with normal liver,” The British Journal of Surgery, vol. 97, no. 7, pp. 1062–1069, 2010. View at Publisher · View at Google Scholar · View at Scopus
  46. V. Smyrniotis, K. Theodoraki, N. Arkadopoulos et al., “Ischemic preconditioning versus intermittent vascular occlusion in liver resections performed under selective vascular exclusion: a prospective randomized study,” The American Journal of Surgery, vol. 192, no. 5, pp. 669–674, 2006. View at Publisher · View at Google Scholar · View at Scopus
  47. O. Scatton, S. Zalinski, D. Jegou et al., “Randomized clinical trial of ischaemic preconditioning in major liver resection with intermittent Pringle manoeuvre,” The British Journal of Surgery, vol. 98, no. 9, pp. 1236–1243, 2011. View at Publisher · View at Google Scholar · View at Scopus
  48. F. Xia, W. Y. Lau, C. Qian, S. Wang, K. Ma, and P. Bie, “Surgical treatment of giant liver hemangiomas: enucleation with continuous occlusion of hepatic artery proper and intermittent Pringle maneuver,” World Journal of Surgery, vol. 34, no. 9, pp. 2162–2167, 2010. View at Google Scholar · View at Scopus
  49. Y. Seyama and M. Makuuchi, “Current surgical treatment for bile duct cancer,” World Journal of Gastroenterology, vol. 13, no. 10, pp. 1505–1515, 2007. View at Google Scholar · View at Scopus