title: Pringle manoeuvre versus selective hepatic vascular exclusion: outcome of a case series in a tertiary referral centre.
abstract: A retrospective comparative study was done to compare the outcome of intermittent Pringle manoeuvre (IPM) and selective hepatic vascular exclusion (SHVE) in 19 major hepatectomies in non-cirrhotic patients that were done from October 2003 to June 2009. Intra-operative blood loss (IBL), total operative time (TOT) and immediate outcome were assessed in the two groups. Thirteen underwent IPM and the others underwent SHVE. The mean age was 50 years (SHVE) and 39.2 years (IPM). Mean IBL was 641 ml and 802 ml in the SHVE and IPM groups respectively (p > .05). TOT was 4.7 hours in both groups. There was one mortality from myocardial infarction in the IPM group and no morbidities in both groups. The results obtained from this study shows that IPM is equivalent to SHVE, with regards to IBL, TOT and immediate outcome in major hepatectomies in non-cirrhotic patients.
authors.affiliation: University Surgical Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka. chikadaman@yahoo.com.
authors.forename: C N
authors.initials: CN
authors.lastname: Wijesurendere
authors.forename: F H D S
authors.initials: FH
authors.lastname: Silva
authors.forename: A A
authors.initials: AA
authors.lastname: Pathirana
authors.forename: T
authors.initials: T
authors.lastname: Wijeratne
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D016896:Treatment Outcome