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HPB Surgery
Volume 2012 (2012), Article ID 169351, 12 pages
Review Article

Bleeding in Hepatic Surgery: Sorting through Methods to Prevent It

Unit of Hepatobiliary and Pancreatic Surgery, Department of Surgery, San Gerardo Hospital, University of Milan-Bicocca, Via Donizetti 106, 20052 Monza, Italy

Received 4 June 2012; Accepted 23 October 2012

Academic Editor: Andrea Lauterio

Copyright © 2012 Fabrizio Romano 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.


Liver resections are demanding operations which can have life threatening complications although they are performed by experienced liver surgeons. The parameter “Blood Loss” has a central role in liver surgery, and different strategies to minimize it are a key to improve results. Moreover, recently, new technologies are applied in the field of liver surgery, having one goal: safer and easier liver operations. The aim of this paper is to review the different principal solutions to the problem of blood loss in hepatic surgery, focusing on technical aspects of new devices.