Laparoscopic Pringle's manoeuvre for liver resection?: how I do it

Minim Invasive Ther Allied Technol. 2011 Dec;20(6):365-8. doi: 10.3109/13645706.2011.557078. Epub 2011 Jun 21.

Abstract

Although experience with the laparoscopic approach for liver resection has increased in recent years, it still remains a challenging procedure. One of the manoeuvres to reduce catastrophic haemorrhage is occlusion of hepatic inflow by compression of the hepato-duodenal ligament, the so-called Pringle's manoeuvre. One of the limitations of laparoscopic liver resection is the safe placement of a tape around the hepato-duodenal ligament to facilitate intermittent clamping of the porta-hepatis (Pringle's manoeuvre) prior to hepatic transection. We present a novel, safe and efficient technique that has evolved during this series of laparoscopic liver resections.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Colorectal Neoplasms / pathology
  • Digestive System Surgical Procedures / instrumentation
  • Digestive System Surgical Procedures / methods*
  • Female
  • Humans
  • Laparoscopy / instrumentation
  • Laparoscopy / methods*
  • Liver / pathology
  • Liver / surgery*
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged