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. 2016 Oct 31;2016(10):CD010683. doi: 10.1002/14651858.CD010683.pub3

Park 2012.

Methods Randomised clinical trial
Participants Country: South Korea
 Number randomised: 53
 Postrandomisation dropouts: 3 (5.7%)
 Revised sample size: 50
 Average age: 31 years
 Women: 11 (22%)
 Number of cirrhotics: 0 (0%)
 Number of major liver resections: 50 (100%)
 Number of right hepatectomies: 50 (100%)
 Follow‐up (months): until discharge
 Further details of methods of liver resection
  1. Vascular occlusion: factor being randomised

  2. Parenchymal transection: not stated

  3. Fibrin glue: not stated

  4. Pharmacological methods: not stated

  5. Cardiopulmonary methods: not stated

  6. Autologous transfusion: not stated


Inclusion criteria: donors underwent right hemihepatectomy and recipients received right hemiliver grafts
Exclusion criteria
  1. Recipient had experienced fulminant hepatic failure

  2. The graft‐to‐recipient body weight ratio (GRWR) was < 0.9%

  3. A frozen biopsy sample from the donor liver showed > 30% macrovesicular steatosis before donor hemihepatectomy

  4. The transplant was ABO‐incompatible

  5. The recipient had previously undergone organ transplantation

  6. The recipient had undergone or was scheduled to undergo multiorgan transplantation

Interventions Participants were randomly assigned to 2 groups.
 Group 1: intermittent portal triad clamping (n = 25)
 Group 2: control (n = 25)
 Intermittent portal triad clamping: 15 min on and 5 min off
Outcomes The outcomes reported were: proportion of people with serious adverse events, operative blood loss, length of hospital stay, and operating time.
Notes Reasons for postrandomisation dropouts: graft‐to‐recipent body weight ratio < 0.9%
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "The donor‐recipient pairs were randomized (1:1) into 2 groups (IHIO and control groups) at the time of anesthesia induction for donors via the extraction of a black or white (but otherwise identical) stone from an unseen box".
Comment: IHIO: intermittent hepatic inflow occlusion
Allocation concealment (selection bias) Low risk Quote: "The donor‐recipient pairs were randomized (1:1) into 2 groups (IHIO and control groups) at the time of anesthesia induction for donors via the extraction of a black or white (but otherwise identical) stone from an unseen box".
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: this information was not available.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: this information was not available.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Comment: there were postrandomisation dropouts.
Selective reporting (reporting bias) High risk Comment: mortality and morbidity were not reported adequately.
Vested interest bias Low risk Quote: "This study was funded by the Clinical Research Development Program (CRS1091811)".
Other bias Low risk Comment: no other bias