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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Description
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Related Experiment Video

Updated: May 28, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Hemodynamic and Respiratory Management During Liver Resection.

Fabrizio Racca1, Valentina Girotto1, Elena Conti1

  • 1Division of Anesthesia and Intensive Care, AO Ordine Mauriziano, Torino, Italy.

Journal of Intensive Care Medicine
|May 27, 2026
PubMed
Summary
This summary is machine-generated.

Optimizing hemodynamic and respiratory management during liver resections is crucial for minimizing blood loss and ensuring patient safety. Advanced strategies balance bleeding control with hemodynamic stability and lung protection.

Keywords:
intraoperative mechanical ventilationliver surgeryperioperative critical careperioperative hemodynamic managementpostoperative pulmonary complications

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Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
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Published on: August 8, 2025

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Last Updated: May 28, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
05:30

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach

Published on: August 8, 2025

Area of Science:

  • Hepatobiliary surgery
  • Anesthesiology
  • Surgical critical care

Background:

  • Hepatic resection outcomes have improved with minimally invasive techniques and specialized centers.
  • Hemorrhage control remains a significant intraoperative challenge due to the liver's vascularity.

Purpose of the Study:

  • To review advanced hemodynamic and respiratory management strategies for liver resections.
  • To highlight perioperative considerations in living donor liver transplantation.

Main Methods:

  • Discussion of blood-sparing techniques like vascular inflow occlusion (Pringle maneuver) and vascular exclusion.
  • Review of fluid administration, low tidal volume (VT) ventilation, and positive end-expiratory pressure (PEEP) strategies.
  • Emphasis on communication between surgical and anesthesiology teams.

Main Results:

  • Blood-sparing strategies can cause hemodynamic instability.
  • Restrictive fluid management and low ventilation pressures may increase risks of instability and atelectasis.
  • Advanced management is essential for hemodynamic stability, bleeding control, and lung protection.

Conclusions:

  • Effective hemodynamic and respiratory management is vital for successful liver resections.
  • Balancing bleeding control with cardiopulmonary stability and lung protection is key.
  • Continuous interdisciplinary communication optimizes intraoperative outcomes.