Nagasue N, Yukaya H, Suehiro S, Ogawa Y
Am J Surg. 1984 Jun;147(6):772-5. doi: 10.1016/0002-9610(84)90198-3.
Temporary occlusion of hepatic inflow, namely, the Pringle maneuver, was adopted for 15 patients with liver cirrhosis who underwent partial hepatectomy. The warm ischemia time ranged from 2 to 32 minutes with an average of 19 minutes. The procedure did not cause any harmful effects on systemic hemodynamic and postoperative liver function. The results in our patients were compared with those of 15 comparable control patients who had been operated on over the same period of time without inflow obstruction. The Pringle maneuver significantly diminished the estimated blood loss during surgery, intraoperative and postoperative complications, and suppressed the operative mortality rate from 20 percent to 0.
对15例接受肝部分切除术的肝硬化患者采用了肝血流的临时阻断，即Pringle手法。热缺血时间为2至32分钟，平均为19分钟。该操作未对全身血流动力学和术后肝功能造成任何有害影响。将我们患者的结果与同期接受手术但未进行血流阻断的15例对照患者的结果进行了比较。Pringle手法显著减少了手术期间的估计失血量、术中和术后并发症，并将手术死亡率从20%降至0。
