الفهرس 
Introduction & aim of the workOnly 14 pages are availabe for public view
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Abstract
Summary:-
Although hepatic resection does not necessarily require any kind of liver vascular control, the possibility of life-threatening hemorrhage and ways to manage it successfully should always be considered in advance.
Conventionally, the Pringle maneuver is used during hepatectomy to control blood loss, but at the cost of profound hepatic ischemia. In addition to this warm ischemic injury, further deterioration of liver function would be expected from reperfusion injury after the maneuver.
An alternative method of hemostasis is selective inflow vascular control described by Makuuchi. This represents temporary, selective occlusion of afferent vessels in the hepatic hilum supplying liver to be resected.
We prospectively investigated the efficacy of this technique on 30 patients with hepatic focal lesions at El Minia university hospital (Hepatobiliary unit)
Finally we concluded that:
1. The efficacy and safety of Pringle’s maneuver and selective inflow vascular control surgeries were evaluated and we conclude that both are effective, safe and feasible techniques.
2. Arterial pressure and pulse in Pringle’s maneuver group were much higher than that in selective inflow vascular control group.
3. Liver function parameters increased much more in Pringle’s maneuver group than that in selective inflow vascular control group.
4. selective inflow vascular control is safer with less ischemia reperfusion injury than Pringle’s maneuver surgery.