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Updated: Oct 25, 2025
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Effect of controlled low central venous pressure technique on postoperative hepatic insufficiency in patients
Gu Wu1, Tinghong Chen1, Zongjie Chen1
1Department of Anesthesiology, The First People's Hospital of Chongqing Liang Jiang New Area Chongqing 401121, China.
Objective:
To investigate the effect of controlled low central venous pressure (CLCVP) technique on postoperative hepatic insufficiency in patients undergoing major hepatic resection.
Methods:
In this single-center, propensity score matching, retrospective study, 331 patients who underwent laparoscopic major hepatectomy consecutively from October 1, 2014 to October 30, 2020 were enrolled and divided into a CLCVP group [0≤ central venous pressure (CVP) ≤5 cmH2O] and normal CVP (NCVP) group (5< CVP ≤10 cmH2O). The propensity score matching was used to adjust the differences in the data and was matched 1:1 to evaluate the impact of CLCVP on the incidence of liver insufficiency.
Results:
After propensity score matching, 84 patients were included in each group, with a good balance of preoperative baseline and intraoperative data between the two groups. The incidence of postoperative hepatic insufficiency was 21.23% in the CLCVP group, which did not differ from that in the NCVP group (21.54%) (P>0.05).
Conclusion:
In patients undergoing laparoscopic major hepatectomy, CLCVP technique did not increase the incidence of postoperative hepatic insufficiency.
