Methods to decrease blood loss during liver resection: a network meta-analysis

Abstract

Methods to decrease blood loss during liver resection: a network meta-analysis.

Modern Technical Approaches in Resectional Hepatic Surgery

“…Blood-sparing transection can be performed using a wide variety of techniques and devices, of which none has been shown to be clearly superior. 27 Acceptable techniques 28 include clamp fracture, 29 staple transection, 30 water jet dissection, 31 and ultrasonic dissection. 32 Although perhaps more time-consuming than other methods, many surgeons favor ultrasonic dissection for its ability to allow precise identification and control of intrahepatic pedicles and veins.…”

Blood and Transfusion Management in Liver Surgery

“…The choice of a special equipment to transect liver parenchyma, the use of portal clamping, and the way that the cut surface is managed depend on the preference of the operating surgeon. The use of fi brin glue sealants, local collagen, and cellulose pads have also been used to promote hemostasis and reduce the risk of postoperative bleeding [ 21 ]. However, the optimal treatment strategy for liver resection remains to be defi ned.…”

Vaskuläres Management bei anatomischen Leberresektionen

“…Entscheidend für eine gefäßschonende und blutungsarme Resektion ist die Technik der Parenchymdurchtrennung [31]. In den Händen erfahrener Leberchirurgen konnte allerdings kein signifikanter Unterschied zwischen unterschiedlichen Methoden ausgemacht werden [34].…”