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Journal of Pediatric Surgery Case Reports 61 (2020) 101581
Contents li
nique used by surgeons worldwide due to its con venience for bleeding
Liver problems in children can be caused by tumor and trauma con trol [ 6 ]. The technique could be used with or without hepatic vas-
[ 1 ]. Primary liver tumors account for 1% of the solid tumors in chil- cular con trol [ 7 ]. Based on results of sev eral random ized con trolled
dren. Histo log ically, the most common findings are hepa to blas toma trial stud ies and meta- analyses, there is no signif i cant differ ence be-
(70%) and hepa to cel lu lar carci noma (HCC) (27%) [ 2 ,3 ]. In Taiwan, tween clamp- crush technique and the us age of other techniques in
hepa to blas toma has a higher inci dence rate than hepa to cel lu lar carci - terms of the amount of oper a tive blood loss and the need for blood
noma (HCC) and it has the highest rate of all liver malig nan cies in transfu sion, oper a tive time and hos pital stay [ 8 ,9 ]. Clamp crushing
children during the past two decades (up to 80%) [ 7 ]. Hepa to blas - technique can be use for hepatic resec tion due to its speed, ease, inex -
toma is usu ally diag nosed within the first 3 years of life wi

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