TECHNIQUE FOR INFLOW BLOOD CONTROL IN LIVER SURGERY - Review article

ABSTRACT: Vascular occlusion is used to reduce blood loss during liver resection surgery. For many decades liver resections have been performed with very high morbidity and mortality. Intraoperative blood loss has indeed repeatedly been shown to adversely influence the short-term prognosis of patients. In addition, there is evidence that blood transfusion may associate with an increased risk of recurrence of malignancy, through impairment of the patient’s immune response. The knowledge for liver anatomy permitted to perform safety control of vascular flow and reduce complications (1, 2). Because of the numerous improvements of the liver resectional techniques, many cases became possible for radical operations. In this regard, pedicular intermittent clamping, with alternates sorts periods of clamping with intervals of restoration of blood flow, proved to be the besttolerated clamping modality (3). The combination of preoperative anatomical knowledge, good medical team and use of good tools for liver parenchyma dissection makes major liver resection possible.