Testing a blood-removal technique during liver surgery to reduce transfusions

This trial is testing a surgical technique called hypovolemic phlebotomy during minimally invasive liver surgery for patients with hepatocellular carcinoma (liver cancer). About 30 minutes before the surgeon removes the diseased part of the liver, an anesthesiologist will withdraw a small amount of blood from a vein to lower the pressure in your blood vessels. The goal is to see if this technique helps reduce the need for blood transfusions during and after surgery.

Liver surgery can cause significant bleeding, which often requires blood transfusions. This trial is exploring whether the new blood management technique can help minimize blood loss and reduce how many patients need transfusions, potentially making surgery safer and more efficient.