The Influence of Resection Size and Pringle Maneuver on Operating Time and Intraoperative Bleeding in Patients with Colorectal Metastases in the Liver

Petrovski, Stefan and Serafimov, Aleksandar and Karakolevska Ilova, Marija and Simeonovska Joveva, Elena and Petrovska, Lidija and Adzi-Andov, Ljubica (2023) The Influence of Resection Size and Pringle Maneuver on Operating Time and Intraoperative Bleeding in Patients with Colorectal Metastases in the Liver. Open Access Macedonian Journal of Medical Sciences. ISSN 1857-9655

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Abstract

BACKGROUND: The extent of the resection, whether clamped or non-clamping resection is factor that influences
the operating time and intraoperative bleeding, the development of modern techniques for vascular control and
resection, and determine of lesser blood loss, morbidity, and mortality.
AIM: The aim of this study was to determine the experience of General and Hepatobiliary Surgery Clinic at
Aleksandrovska Hospital Sofia, Republic of Bulgaria in the treatment of patients with colorectal metastases in the
liver and to compare literature reports on the influence of the extent of resection and Pringle maneuver (IPM) on
operating time and perioperative bleeding.
MATERIALS AND METHODS: This retrospective study covers the time period from January 01, 2006, until
December 31, 2015. A total of 239 patients were included, from which: 179 patients were treated with radical surgery,
5 with palliative intervention, and 55 were subjected on operability exploration.
RESULTS: The use of the IPM for vascular control insignificantly influenced the prolonged operative time, while
intraoperative blood loss was significantly lower in patients with Pringle <15 min. There was no association between
IPM and resection type, while intraoperative blood loss and operating time were significantly greater in patients with
major resection.
CONCLUSION: Resection size is directly proportional to operating time and perioperative blood loss, but it does
not significantly influence perioperative morbidity. The IPM does not influence operating time, while blood loss is
significantly lower in the group of patients with Pringle <15 min.

Item Type:	Article
Uncontrolled Keywords:	Pringle maneuver; Intraoperative bleeding; Colorectal metastases; Resection size
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Marija Karakolevska
Date Deposited:	13 Nov 2023 08:19
Last Modified:	24 Jan 2024 10:03
URI:	https://eprints.ugd.edu.mk/id/eprint/32542

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