{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T07:58:31Z","timestamp":1773129511998,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2009,9,16]],"date-time":"2009-09-16T00:00:00Z","timestamp":1253059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intermittent Pringle maneuver or selective portal clamping often are used to control inflow during parenchymal liver transection. This study was designed to determinate whether these maneuvers are associated with adverse hepatic function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Resection was performed without portal clamping in 17 patients (group 1). Selective continuous portal clamping was performed in 11 patients (group 2) and the remaining 33 patients (group 3) had intermittent nonselective portal clamping (occlusion of the main portal trunk). The centers\u2019 protocol for total portal occlusion is 15\u2010min occlusion alternated with 5\u2010min reperfusion in patients with normal liver parenchyma or 10\u00a0min alternated with 5\u00a0min in patients with abnormal parenchyma. ICG elimination tests were conducted concurrently using a noninvasive monitor that tracks the plasma disappearance rate (PDR\u2010ICG\u2010%\/min) and 15\u2010min retention rate after administration (ICG\u2010R15\u2010%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no statistically difference between the three studied groups in terms of sequential changes of ICG\u2010PDR (<jats:italic>p<\/jats:italic> &lt; 0.625) or ICG\u2010R15 (<jats:italic>p<\/jats:italic> &lt; 0.398).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study indicates that 15\u00a0min of intermittent Pringle maneuver or selective hemihepatic continuous portal clamping are safe methods of vascular control during liver resection, with no adverse effects on hepatocellular function.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0204-2","type":"journal-article","created":{"date-parts":[[2009,9,15]],"date-time":"2009-09-15T20:36:52Z","timestamp":1253047012000},"page":"2627-2634","source":"Crossref","is-referenced-by-count":12,"title":["Intermittent Pringle Maneuver and Hepatic Function: Perioperative Monitoring by Noninvasive ICG\u2010Clearance"],"prefix":"10.1002","volume":"33","author":[{"given":"Jos\u00e9 Guilherme","family":"Tralh\u00e3o","sequence":"first","affiliation":[{"name":"Departamento de Cirurgia, Servi\u00e7o de Cirurgia III Hospitais da Universidade de Coimbra Praceta Mota Pinto 3000\u2010075 Coimbra Portugal"},{"name":"Biophysics\/Biomathematics Institute IBILI, Faculty of Medicine Coimbra Portugal"}]},{"given":"Emir","family":"Hoti","sequence":"additional","affiliation":[{"name":"Liver Transplant Unit Saint Vincents\u2019 University Hospital Elm Park Dublin 4 Ireland"}]},{"given":"B\u00e1rbara","family":"Oliveiros","sequence":"additional","affiliation":[{"name":"Biophysics\/Biomathematics Institute IBILI, Faculty of Medicine Coimbra Portugal"}]},{"given":"Ana M.","family":"Abrantes","sequence":"additional","affiliation":[{"name":"Biophysics\/Biomathematics Institute IBILI, Faculty of Medicine Coimbra Portugal"}]},{"given":"M. Filomena","family":"Botelho","sequence":"additional","affiliation":[{"name":"Biophysics\/Biomathematics Institute IBILI, Faculty of Medicine Coimbra Portugal"}]},{"given":"F.","family":"Castro\u2010Sousa","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia, Servi\u00e7o de Cirurgia III Hospitais da Universidade de Coimbra Praceta Mota Pinto 3000\u2010075 Coimbra Portugal"}]}],"member":"311","published-online":{"date-parts":[[2009,9,16]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0265021502001254"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(98)00240\u20103"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199712000\u201000007"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2003.12.006"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200210000\u201000001"},{"key":"e_1_2_5_7_2","first-page":"526","article-title":"Resective surgery for liver tumor: a multivariate analysis of causes and risk factors linked to postoperative complications","volume":"5","author":"Benzoni E","year":"2006","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"e_1_2_5_8_2","first-page":"210","article-title":"Oxidative stress in humans following the Pringle manoeuvre","volume":"5","author":"Garcea G","year":"2006","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20101383(03)00288\u20102"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1997.01430340058009"},{"key":"e_1_2_5_11_2","first-page":"43","article-title":"The use of indocyanine green in the measurement of hepatic blood flow and as a test of hepatic function","volume":"21","author":"Caesar J","year":"1961","journal-title":"Clin Sci"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.3181\/00379727-99-24229"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001340000639"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00101\u2010002\u20100290\u20100"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199603143341104"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800600817"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432\u20102277.2006.00375.x"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/ssu.2980090404"},{"key":"e_1_2_5_19_2","first-page":"277","article-title":"A ten\u2010year experience with hepatic resection in 338 patients: evolutions in indications and of operative mortality","volume":"160","author":"Belghiti J","year":"1994","journal-title":"Eur J Surg"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.2006.03643.x"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100773.1998.tb01945.x"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010004\u20100965\u20109"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(19)35200-X"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0b013e328012b268"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246\u2010198402000\u201000007"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20205"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.5.1715"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246\u2010200106000\u201000014"},{"key":"e_1_2_5_29_2","first-page":"801","article-title":"Pharmacokinetic study on the hepatic uptake of indocyanine green in cirrhotic patients","volume":"80","author":"Kawasaki S","year":"1985","journal-title":"Am J Gastroenterol"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168\u20108278(89)90070\u20106"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mvr.2003.09.002"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20045"},{"key":"e_1_2_5_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.20071"},{"key":"e_1_2_5_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007890\u2010199104000\u201000013"},{"key":"e_1_2_5_35_2","doi-asserted-by":"publisher","DOI":"10.1006\/jsre.2000.5893"},{"key":"e_1_2_5_36_2","first-page":"120","article-title":"Comparison of indocyanine green clearance with Child\u2019s\u2010Pugh score and hepatic histology: a multivariate analysis","volume":"53","author":"Mukherjee S","year":"2006","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_37_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100676.2001.210104.x"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-009-0204-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-009-0204-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-009-0204-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:05:26Z","timestamp":1703603126000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-009-0204-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9,16]]},"references-count":36,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1007\/s00268-009-0204-2"],"URL":"https:\/\/doi.org\/10.1007\/s00268-009-0204-2","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,9,16]]}}}