title: [Performing liver resections with or without Pringle manuever].
abstract: Liver resections, because of its complexity, present a big challenge for every surgeon. A malignant diseases, which are the most frequent indications for this type of operations, additionally complicate job of the surgeons. Because the flag immunological system, in this type of patients, with reduced reserves of the liver, can have unforeseen postoperative consequence. The bleeding during and after operations presents one of the most difficult problems with liver resections. Introduction of the Pringle maneuver, reduce the risks for this operations to the minimum. The aim of this work at first is to analyze and compare functional parameters of the liver with or without intermittent hepatic pedicle clamping (HPC), for the purpose of the establishing invasivity and justification of its application. A statistical pattern was 30 patients with performed liver resections using intermittent HPC and 30 patients without using intermittent HPC, during liver resections. Results showed that performing liver resections with Pringle manuever do not have negative repercussions on the liver functions with less postoperative complications and postoperative hospital duration.
authors.affiliation: Hirurska klinika, Abdominalna hirurgija, Univerzitetski klinicki centar Tuzla, Bosna i Hercegovina.
authors.forename: Nedzad
authors.initials: N
authors.lastname: Kadrić
authors.forename: Deso
authors.initials: D
authors.lastname: Mesić
authors.forename: Farid
authors.initials: F
authors.lastname: Ljuca
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged