The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Infrahepatic inferior vena cava clamping for reduction of central venous pressure and blood loss during hepatic resection: a randomized controlled trial. Ann Surg 2011; 253: 1102-1110.

Published: 7th July 2011

Authors: Rahbari N, Koch M, Zimmermann JB, Elbers H, Bruckner T, Contin P et al. et al.

Conclusion

Caval clamping was compared with medical measures to reduce central venous pressure in this study that included 128 analysable procedures. Caval clamping reduced intra-operative blood loss (550 vs. 900ml, P=0.02), without affecting morbidity or mortality rates. It did, however, increase the rate of postoperative pulmonary embolism: 4 vs. none, P=0.04.

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