• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic Liver Resection With Selective Prior Vascular Control

Laparoscopic Liver Resection With Selective Prior Vascular Control

Hadrien Tranchart, MD, Giuseppe Di Giuro, MD, Panagiotis Lainas, MD, Guillaume Pourcher, MD, Gabriel Perlemuter, MD PhD, Dominique Franco, MD, Ibrahim Dagher. Department of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart

 

Introduction: Vascular inflow control in laparoscopic liver resections can reduce blood loss and transfusion rates. Selective clamping, in contrast to hepatic pedicle clamping, does not cause ischemic injury to the remnant liver and may be particularly efficient in laparoscopy. The aim of our study was to evaluate the effect of selective prior vascular control (PVC) in patients undergoing laparoscopic liver resections (LLR).
Methods and procedures: Between 1999 and 2008, anatomic LLRs were performed with PVC whenever possible. Fifty-two patients underwent LLR with PVC with prospective data collection and were compared with patients undergoing open liver resections (OLR) with PVC selected from our liver resection database, in a case-match analysis. Variables evaluated were: duration of intervention, blood loss, transfusion rate, resection margin, specific and overall morbidity, perioperative mortality and length of hospital stay.
Results: There was no difference in operative time between the two groups (309 min vs. 295 min in the laparoscopy and laparotomy groups, respectively; p=0.75). Blood loss and transfusion rates were lower in LLR (367 ml vs. 589 ml, p=0.001; transfusions: 3.8% vs. 17.3%, p=0.05). Surgical margins were similar. Specific and general morbidity did not differ significantly between the two groups (specific: 1.9% vs. 11.5%, p=0.11 and general: 13.3% vs. 13.3% in LLR and OLR, respectively; p=1.00). Hospital stay was longer in the OLR group (11.0 days vs. 7.4 days, p=0.001).
Conclusions: PVC during LLR was feasible and improved intra-operative and post-operative results when compared to OLR. Selective PVC should be obtained in LLR whenever possible.
 


Session Number: Poster – Poster Presentations
Program Number: P322
View Poster

199

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals