Continuous occlusion of hepatic artery proper for prevention of XXXX in partial hepatectomy for @entity157 : a case-matched comparative study.

@entity1 @entity190 @entity648 @entity397 @entity492 @entity1575 @entity157
BACKGROUND: To investigate the efficacy and safety of adding continuous occlusion of hepatic artery proper to intermittent Pringle maneuver in partial hepatectomy for @entity157 . MATERIALS AND METHODS: This is a retrospective study on data that were prospectively collected and entered into a computer database. A total of 36 @entity1 who underwent partial hepatectomy for @entity397 by adding continuous occlusion of hepatic artery proper to intermittent Pringle maneuver at a tertiary care university hospital were compared with a historical case-matched control group of 36 @entity1 who received intermittent Pringle maneuver only. RESULTS: The @entity1 characteristics were comparable for the 2 groups of @entity1 . The mean hepatic artery occlusion time was 58  min (range 36-98  min). Intraoperative @entity190 and blood transfusion rate in the study group were significantly lower than the control group (P  <  .001 and P  =  .004, respectively). There were no significant differences in the postoperative serum @entity492 transaminase and total @entity648 levels (P  =  .087, P  =  .135, respectively), and in the postoperative hospital stay and surgical complications according to Clavien's classification between the two groups (P  =  0.213, P  =  1.000, respectively). The disease-free survival rates in the study group was significantly better than the control group (P  =  .023). Overall, @entity157 @entity1 with @entity397 had poor prognosis. CONCLUSIONS: The addition of continuous occlusion of hepatic artery proper to intermittent Pringle maneuver significantly reduced intraoperative @entity190 for partial hepatectomy in @entity1 with @entity397 when compared with intermittent Pringle maneuver alone. The procedure was found to be safe even for @entity1 with @entity1575 .
