Portal triad clamping versus other methods of vascular control in liver resection: a systematic review and meta-analysis

Arthur J. Richardson*, Jerome M. Laurence, Vincent W. T. Lam

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

8 Citations (Scopus)

Abstract

Background: Portal triad clamping (PTC) is the most commonly used method of achieving vascular control during liver resection. However, the efficacy and safety of PTC, compared with those of other methods of vascular control, are uncertain. Methods: A systematic review was conducted to identify randomized controlled trials (RCTs) comparing PTC with other methods of vascular control during liver resection. Endpoints included in-hospital mortality, need for transfusion, number of complications and length of hospital stay. Meta-analyses were performed using a random-effects model. Results: Ten RCTs were identified; these included a total of 820 patients. No statistically significant differences between PTC and other forms of vascular control in liver resection were demonstrated. Conclusions: There is no evidence, on the basis of this meta-analysis of RCTs, of any difference between PTC and other forms of vascular control in liver resection.

Original languageEnglish
Pages (from-to)355-364
Number of pages10
JournalHPB
Volume14
Issue number6
DOIs
Publication statusPublished - 1 Jan 2012
Externally publishedYes

Keywords

  • haemorrhage
  • hepatectomy
  • liver
  • portal triad clamping
  • resection
  • vascular control

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