When does a Pringle Maneuver cause harm?. Issue 4 (April 2021)
- Record Type:
- Journal Article
- Title:
- When does a Pringle Maneuver cause harm?. Issue 4 (April 2021)
- Main Title:
- When does a Pringle Maneuver cause harm?
- Authors:
- Fagenson, Alexander M.
Gleeson, Elizabeth M.
Nabi, Fatima
Lau, Kwan N.
Pitt, Henry A. - Abstract:
- Abstract: Background: The Pringle Maneuver (PM) is considered to be safe and effective. However, data regarding perioperative outcomes after a PM are conflicting. Therefore, the aim of this analysis is to compare the outcomes of patients who have and have not undergone a PM in North America. Methods: Patients undergoing major (≥3 segments) or partial hepatectomy (≤2 segments) were identified in the 2014–17 ACS-NSQIP hepatectomy database. Patients with and without a PM were compared. Propensity matching was utilized, and subgroup analyses by liver texture, hepatectomy extent and pathology were performed. Results: Prior to matching, 3706 (24%) of 15, 748 hepatectomy patients underwent a PM. The PM was utilized in 1445 (27 %) of major and 2261 (22 %) of partial hepatectomies. After matching, 3295 patients with and 3295 without a PM were compared. Operative time was significantly increased for patients undergoing a PM (246 vs. 225 min, p < 0.001). Subgroup analyses revealed post-hepatectomy liver failure and septic shock to be significantly increased (both p < 0.05) for patients undergoing a PM during a partial hepatectomy or in patients with metastatic disease. Conclusion: Patients undergoing a partial hepatectomy and those with metastatic disease have worse outcomes when a Pringle Maneuver is performed.
- Is Part Of:
- HPB. Volume 23:Issue 4(2021)
- Journal:
- HPB
- Issue:
- Volume 23:Issue 4(2021)
- Issue Display:
- Volume 23, Issue 4 (2021)
- Year:
- 2021
- Volume:
- 23
- Issue:
- 4
- Issue Sort Value:
- 2021-0023-0004-0000
- Page Start:
- 587
- Page End:
- 594
- Publication Date:
- 2021-04
- Subjects:
- Liver -- Diseases -- Periodicals
Biliary tract -- Diseases -- Periodicals
Pancreas -- Diseases -- Periodicals
616.362005 - Journal URLs:
- https://www.journals.elsevier.com/hpb/ ↗
http://www.hpbonline.org/current ↗
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1477-2574 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1016/j.hpb.2020.07.014 ↗
- Languages:
- English
- ISSNs:
- 1365-182X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4335.262340
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 22681.xml