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Minerva Chirurgica 2018 Feb 01

DOI: 10.23736/S0026-4733.18.07599-5


lingua: Inglese

Pringle maneuver in robotic liver surgery: preliminary study

Benedetta PESI , Luca MORALDI, Ilenia BARTOLINI, Federica TOFANI, Francesco GUERRA, Mario ANNECCHIARICO, Andrea CORATTI

Oncological and Robotic General Surgery, Careggi University Hospital, Florence, Italy


BACKGROUND: Liver resection may be complicated by unpredictable intraoperative bleeding. Pringle’s maneuver was the first attempt to control bleeding,but the main problem is the duration of ischemia. Robotic surgery thanks to the magnified view,three-dimensional visualization associated and fine movement allow to perform good parenchymal dissection and identification of vascular structure. Aim of study is to evaluate blood loss and the need to perform Pringle maneuver in patients underwent robotic liver resection.
METHODS: Thirty-three patients underwent robotic liver resections were analysed, 16(48%) male and 17(52%) female, with median age of 64 years. Seven(21%) patients had benign lesions and twenty-six(79%) malignant tumor.
RESULTS: Seventeen(52%) patients had anatomical resections, while sixteen(48%) patients had non anatomical resection. Operative time was 270 minutes. Estimated blood loss was 100 ml and Pringle maneuver was carried out on seven patients. Median hospital stay was 4 days.
CONCLUSIONS: Our results show that liver resections with robotic technique can be performed safely even without systematic Pringle maneuver.

KEY WORDS: Robotic liver surgery - Pringle maneuver - Blood loss

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Publication History

Article first published online: February 01, 2018
Manuscript accepted: January 31, 2018
Manuscript received: December 17, 2017

Per citare questo articolo

Pesi B, Moraldi L, Bartolini I, Tofani F, Guerra F, Annecchiarico M, et al. Pringle maneuver in robotic liver surgery-preliminary study. Minerva Chir 2018 Feb 01. DOI: 10.23736/S0026-4733.18.07599-5

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