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Robotic infrahepatic vena cava clamping and Pringle manoeuvre for major hepatectomy: A safe and bloodless procedure – First technical report


1 Department of Surgical Oncology, Robotics and New Technologies, Policlinico Abano; Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Padua, Italy
2 Department of Surgical Oncology, Robotics and New Technologies, Policlinico Abano, Padua, Italy

Correspondence Address:
Antonio Pesce,
Department of Surgical Oncology, Robotics and New Technologies, Policlinico Abano, 1, Piazza Cristoforo Colombo, 35031 Abano Terme, Padua
Italy
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_275_20

Mini-invasive approaches in hepatic surgery are associated with a significant decrease in the incidence of post-operative morbidity and liver failure. Intraoperative blood loss represents the major intraoperative accident during hepatectomy. Infrahepatic inferior vena cava clamping is an emerging technical trick which guarantees a lower intraoperative blood loss and transfusion rates during liver surgery. Herein, we present the first report of infrahepatic caval clamping during robotic hepatectomy at our centre, highlighting some technical tips and tricks.


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    -  Marchegiani F
    -  Pesce A
    -  Damoli I
    -  Huscher C
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04