title: Laparoscopic liver resection with selective prior vascular control.
abstract: BACKGROUND
  Selective control of vascular inflow can reduce blood loss and transfusion rates and may be particularly efficient in laparoscopic liver resection (LLR). The aim of this study was to evaluate the efficacy of selective prior vascular control (PVC) in patients undergoing laparoscopic or open liver resections (OLR).
  
  
  METHODS
  Between 1999 and 2008, 52 patients underwent LLR with PVC with prospective data collection and were compared with patients undergoing OLR with PVC.
  
  
  RESULTS
  There was no difference in the operative time between the 2 groups. Blood loss and transfusion rates were lower in patients who underwent LLR (367 vs 589 mL, P = .001; 3.8% vs 17.3%, P = .05, respectively). Morbidity did not differ significantly between the 2 groups. Hospital stay was longer in the OLR group (11.0 vs 7.4 days, P = .001).
  
  
  CONCLUSIONS
  PVC during LLR was feasible and improved intraoperative and postoperative results. Selective PVC should be obtained in LLR whenever possible.
authors.affiliation: Department of Minimally Invasive Digestive Surgery, Antoine-Béclère Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Clamart, France.
authors.forename: Hadrien
authors.initials: H
authors.lastname: Tranchart
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Di Giuro
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Lainas
authors.forename: Guillaume
authors.initials: G
authors.lastname: Pourcher
authors.forename: Niaz
authors.initials: N
authors.lastname: Devaquet
authors.forename: Gabriel
authors.initials: G
authors.lastname: Perlemuter
authors.forename: Dominique
authors.initials: D
authors.lastname: Franco
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Dagher
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000706:statistics & numerical data; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D008099:Liver / Q000098:blood supply / Q000601:surgery; D008107:Liver Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies