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

Author： Saif Rehan   Jacob Mathew   Robinson Stuart   Sen Gourab   Manas Derek   White Steve  

Publisher： Informa Healthcare

ISSN： 1364-5706

Source： Minimally Invasive Therapy and Allied Technologies, Vol.20, Iss.6, 2011-12, pp. : 365-368

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Abstract

AbstractAlthough 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.

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