The influence of the Pringle maneuver in laparoscopic hepatectomy: continuous monitor of hemodynamic change can predict the perioperatively physiological reservation

Yi Chan Chen; Min Hsuan Lee; Shan Ni Hsueh; Chien Liang Liu; Chung Kun Hui; Ruey Shyang Soong

doi:10.3389/fdata.2023.1042516

The influence of the Pringle maneuver in laparoscopic hepatectomy: continuous monitor of hemodynamic change can predict the perioperatively physiological reservation

Yi Chan Chen, Min Hsuan Lee, Shan Ni Hsueh, Chien Liang Liu^*, Chung Kun Hui, Ruey Shyang Soong^*

^*Corresponding author for this work

School of Traditional Chinese Medicine

Research output: Contribution to journal › Journal Article › peer-review

Abstract

IMPORTANCE: This is the first study to investigate the correlation between intra-operative hemodynamic changes and postoperative physiological status.

DESIGN SETTINGS AND PARTICIPANTS: Patients receiving laparoscopic hepatectomy were routinely monitored using FloTract for goal-directed fluid management. The Pringle maneuver was routinely performed during parenchymal dissection and the hemodynamic changes were prospectively recorded. We retrospectively analyzed the continuous hemodynamic data from FloTrac to compare with postoperative physiological outcomes.

EXPOSURE: The Pringle maneuver during laparoscopic hepatectomy.

RESULTS: Stroke volume variation that did not recover from the relief of the Pringle maneuver during the last application of Pringle maneuver predicted elevated postoperative MELD-Na scores.

CONCLUSIONS AND RELEVANCE: The complexity of the hemodynamic data recorded by the FloTrac system during the Pringle Maneuver in laparoscopic hepatectomy can be effectively analyzed using the growth mixture modeling (GMM) method. The results can potentially predict the risk of short-term liver function deterioration.

Original language	English
Article number	1042516
Pages (from-to)	1042516
Journal	Frontiers in Big Data
Volume	6
DOIs	https://doi.org/10.3389/fdata.2023.1042516
State	Published - 2023

Bibliographical note

Keywords

FloTrac
Pringle maneuver
goal directed fluid management
hepatocellular carcinoma
laparoscopic hepatectomy

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10.3389/fdata.2023.1042516

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@article{705542684fc941f38a1e520fc18d5e24,

title = "The influence of the Pringle maneuver in laparoscopic hepatectomy: continuous monitor of hemodynamic change can predict the perioperatively physiological reservation",

abstract = "IMPORTANCE: This is the first study to investigate the correlation between intra-operative hemodynamic changes and postoperative physiological status.DESIGN SETTINGS AND PARTICIPANTS: Patients receiving laparoscopic hepatectomy were routinely monitored using FloTract for goal-directed fluid management. The Pringle maneuver was routinely performed during parenchymal dissection and the hemodynamic changes were prospectively recorded. We retrospectively analyzed the continuous hemodynamic data from FloTrac to compare with postoperative physiological outcomes.EXPOSURE: The Pringle maneuver during laparoscopic hepatectomy.RESULTS: Stroke volume variation that did not recover from the relief of the Pringle maneuver during the last application of Pringle maneuver predicted elevated postoperative MELD-Na scores.CONCLUSIONS AND RELEVANCE: The complexity of the hemodynamic data recorded by the FloTrac system during the Pringle Maneuver in laparoscopic hepatectomy can be effectively analyzed using the growth mixture modeling (GMM) method. The results can potentially predict the risk of short-term liver function deterioration.",

keywords = "FloTrac, Pringle maneuver, goal directed fluid management, hepatocellular carcinoma, laparoscopic hepatectomy",

author = "Chen, {Yi Chan} and Lee, {Min Hsuan} and Hsueh, {Shan Ni} and Liu, {Chien Liang} and Hui, {Chung Kun} and Soong, {Ruey Shyang}",

note = "Copyright {\textcopyright} 2023 Chen, Lee, Hsueh, Liu, Hui and Soong.",

year = "2023",

doi = "10.3389/fdata.2023.1042516",

language = "英语",

volume = "6",

pages = "1042516",

journal = "Frontiers in Big Data",

issn = "2624-909X",

publisher = "Frontiers Media SA",

}

TY - JOUR

T1 - The influence of the Pringle maneuver in laparoscopic hepatectomy

T2 - continuous monitor of hemodynamic change can predict the perioperatively physiological reservation

AU - Chen, Yi Chan

AU - Lee, Min Hsuan

AU - Hsueh, Shan Ni

AU - Liu, Chien Liang

AU - Hui, Chung Kun

AU - Soong, Ruey Shyang

PY - 2023

Y1 - 2023

N2 - IMPORTANCE: This is the first study to investigate the correlation between intra-operative hemodynamic changes and postoperative physiological status.DESIGN SETTINGS AND PARTICIPANTS: Patients receiving laparoscopic hepatectomy were routinely monitored using FloTract for goal-directed fluid management. The Pringle maneuver was routinely performed during parenchymal dissection and the hemodynamic changes were prospectively recorded. We retrospectively analyzed the continuous hemodynamic data from FloTrac to compare with postoperative physiological outcomes.EXPOSURE: The Pringle maneuver during laparoscopic hepatectomy.RESULTS: Stroke volume variation that did not recover from the relief of the Pringle maneuver during the last application of Pringle maneuver predicted elevated postoperative MELD-Na scores.CONCLUSIONS AND RELEVANCE: The complexity of the hemodynamic data recorded by the FloTrac system during the Pringle Maneuver in laparoscopic hepatectomy can be effectively analyzed using the growth mixture modeling (GMM) method. The results can potentially predict the risk of short-term liver function deterioration.

AB - IMPORTANCE: This is the first study to investigate the correlation between intra-operative hemodynamic changes and postoperative physiological status.DESIGN SETTINGS AND PARTICIPANTS: Patients receiving laparoscopic hepatectomy were routinely monitored using FloTract for goal-directed fluid management. The Pringle maneuver was routinely performed during parenchymal dissection and the hemodynamic changes were prospectively recorded. We retrospectively analyzed the continuous hemodynamic data from FloTrac to compare with postoperative physiological outcomes.EXPOSURE: The Pringle maneuver during laparoscopic hepatectomy.RESULTS: Stroke volume variation that did not recover from the relief of the Pringle maneuver during the last application of Pringle maneuver predicted elevated postoperative MELD-Na scores.CONCLUSIONS AND RELEVANCE: The complexity of the hemodynamic data recorded by the FloTrac system during the Pringle Maneuver in laparoscopic hepatectomy can be effectively analyzed using the growth mixture modeling (GMM) method. The results can potentially predict the risk of short-term liver function deterioration.

KW - FloTrac

KW - Pringle maneuver

KW - goal directed fluid management

KW - hepatocellular carcinoma

KW - laparoscopic hepatectomy

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U2 - 10.3389/fdata.2023.1042516

DO - 10.3389/fdata.2023.1042516

M3 - 文章

C2 - 37388503

AN - SCOPUS:85163753975

SN - 2624-909X

VL - 6

SP - 1042516

JO - Frontiers in Big Data

JF - Frontiers in Big Data

M1 - 1042516

ER -

The influence of the Pringle maneuver in laparoscopic hepatectomy: continuous monitor of hemodynamic change can predict the perioperatively physiological reservation

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Keywords

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