Haemodynamics, fluids & transfusion

Reduction of Central Venous Pressure in Elective Robotic and Laparoscopic Liver Resection: The PRESSURE Trial-A Randomized Clinical Study

Ann SurgPublished Randomised controlled trial

Authors' conclusion

MILR without CVP reduction during liver transection is safe and is not associated with increased intraoperative blood loss.

Study context

Population
Patients undergoing elective minimally invasive (robotic or laparoscopic) liver surgery, August 2020 to April 2023112 analysed
Participants
120 patients
Comparison
No central venous pressure (CVP) reduction vs CVP reduction
Primary endpoint
Total intraoperative blood loss
Methodological detailsdouble-blinded
  • Double-blinded

Primary result

As reported in the abstract

P = 0.30

Further findings

CVP during resection

P < 0.001

Blood loss during parenchymal transection · no difference

P = 0.39

90-day mortality · comparable

P = 0.68

Safety

Total morbidity · comparable

P = 0.77

Intraoperative hemodynamic instability · less frequent with no CVP reduction

P = 0.03

Original publication

Reduction of Central Venous Pressure in Elective Robotic and Laparoscopic Liver Resection: The PRESSURE Trial-A Randomized Clinical Study. Ann Surg. Published 8 April 2025. doi:10.1097/sla.0000000000006721

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