Evidence map›Paper›PMID 39565503›Full record

Trial reportCurrent medical science2024

Intraperitoneal and Extraperitoneal Pringle Hepatic Hilar Occlusion in Laparoscopic Liver Resection: A Prospective Randomized Controlled Study.

Liang He, Wei-Xiang Li, Da-Chen Zhou, Yong Wang, Xiao-Ping Geng, Min Yang, Jiong Gu, Hui Hou

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Current medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Liang He *Department of General Surgery, The Second Hospital of Anhui Medical University, Hefei, 230601, China.
Wei-Xiang Li *Department of Hepatobiliary Pancreatic Oncology, Hefei Cancer Hospital, Chinese Academy of Sciences, Hefei, 230031, China.
Da-Chen ZhouDepartment of General Surgery, The Second Hospital of Anhui Medical University, Hefei, 230601, China.
Yong WangDepartment of General Surgery, Shenzhen Hospital of Southern Medical University, Shenzhen, 518000, China.
Xiao-Ping GengDepartment of General Surgery, The Second Hospital of Anhui Medical University, Hefei, 230601, China.
Min YangDepartment of Intensive Care Unit, The Second Hospital of Anhui Medical University, Hefei, 230601, China. yangmingicu@sina.com.
Jiong GuDepartment of General Surgery, The Second Hospital of Anhui Medical University, Hefei, 230601, China. gj20202021@sina.com.
Hui HouDepartment of General Surgery, The Second Hospital of Anhui Medical University, Hefei, 230601, China. hh20022023@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis prospective randomized controlled study was conducted to evaluate the safety and efficacy of the Pringle hepatic hilar occlusion with a bulldog clamp in laparoscopic liver resection.

methodsFrom March 1, 2020 to July 31, 2021, 80 patients were enrolled, including 40 undergoing intraperitoneal Pringle maneuver (IPM) and 40 extraperitoneal Pringle maneuver (EPM). The observation indices included basic preoperative clinical characteristics and intraoperative and postoperative liver function indices.

resultsThere were no significant differences in the basic characteristics or types of hepatectomy, intraoperative blood loss, intraoperative blood transfusion, or hepatectomy time between the IPM and EPM groups. However, the blocking and operation time in the IPM group was shorter than that in the EPM group. There were no significant differences in alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels on the first day after surgery or in total bilirubin (TBIL) or albumin (ALB) levels on the first, third, or fifth days after surgery. However, C-reactive protein (CRP) levels on the first and third days, ALT and AST levels on the third and fifth days were lower, and hospital stay after surgery was shorter in the IPM group than in the EPM group.

conclusionIPM using bulldog clamps is simple, safe, and effective. The inflammatory reaction is less severe, the degree of liver function injury is lower, and recovery is faster.

Indexed as

HepatectomyLaparoscopyAdultAgedAlanine TransaminaseAspartate AminotransferasesBlood Loss, SurgicalC-Reactive ProteinFemaleHumansLength of StayLiverLiver NeoplasmsMaleMiddle AgedOperative TimeAlanine TransaminaseAspartate AminotransferasesC-Reactive Proteinbulldogextraperitoneal Pringle maneuverhepatic hilar occlusionintraperitoneal Pringle maneuverlaparoscopic liver resectionpostoperative liver function

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.