Half-Pringle Maneuver: A Useful Tool in Laparoscopic Liver Resection

2010 ◽  
Vol 20 (1) ◽  
pp. 35-37 ◽  
Author(s):  
Paulo Herman ◽  
Marcos V. Perini ◽  
Fabricio Coelho ◽  
William Saad ◽  
Luiz A.C. D'Albuquerque
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Pringle Maneuver

scholarly journals Pringle maneuver or hemi-hepatic inflow occlusion?—the old debate in a new era of laparoscopic liver resection

2019 ◽  
Vol 3 ◽  
pp. 58-58
Author(s):  
Haili Zhang ◽  
Ningyuan Wen ◽  
Xiang Lan ◽  
Fei Liu ◽  
Yonggang Wei
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Pringle Maneuver ◽  
Inflow Occlusion ◽  
New Era

scholarly journals EXTERNAL PRINGLE MANEUVER IN LAPAROSCOPIC LIVER RESECTION: A SAFE, CHEAP AND REPRODUCIBLE WAY TO PERFORM IT

2020 ◽  
Vol 33 (4) ◽  
Author(s):  
Klaus STEINBRÜCK ◽  
Reinaldo FERNANDES ◽  
Marcelo D’OLIVEIRA ◽  
Rafaela CAPELLI ◽  
Renato CANO ◽  
...  
Keyword(s):  
Liver Resection ◽  
Chest Tube ◽  
Laparoscopic Liver Resection ◽  
Abdominal Cavity ◽  
Major Complication ◽  
Pringle Maneuver ◽  
Internal Diameter ◽  
External Diameter ◽  
Bleeding Control ◽  
Laparoscopic Grasper

ABSTRACT Background: Laparoscopic liver resection is performed worldwide. Hemorrhage is a major complication and bleeding control during hepatotomy is an important concern. Pringle maneuver remains the standard inflow occlusion technique. Aim: Describe an extracorporeal, efficient, fast, cheap and reproducible way to execute the Pringle maneuver in laparoscopic surgery, using a chest tube. Methods: From January 2014 to March 2020, our team performed 398 hepatectomies, 63 by laparoscopy. We systematically encircle the hepatoduodenal ligament and prepare a tourniquet to perform Pringle maneuver. In laparoscopy, we use a 24 Fr chest tube, which is inserted in the abdominal cavity through a small incision. We thread the cotton tape through the tube, pulling it out through the external end, outside the abdomen. To perform the tourniquet, we just need to push the tube as we hold the tape, clamping both with one forceps. Results: The 24 Fr chest tube is firm and works perfectly to occlude blood inflow as the cotton band is tightened. It has an internal diameter of 5,5 mm, sufficient for a laparoscopic grasper pass through it to catch the cotton band, and an external diameter of 8 mm, which allows to be inserted in the abdomen through a tiny incision. The cost of this tube and the cotton band is less than US$ 1. No complications related to the method were identified in our patients. Conclusions: The extracorporeal Pringle maneuver presented here is a safe, cheap and reproducible method, that can be used for bleeding control in laparoscopic liver surgery.

Effects of the Pringle Maneuver on Hemodynamics during Laparoscopic Liver Resection in the Pig

1996 ◽  
Vol 28 (1) ◽  
pp. 8-13 ◽  
Author(s):  
J. Haberstroh ◽  
M. Ahrens ◽  
T. Munzar ◽  
J. Waninger ◽  
R. Salm ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Pringle Maneuver

scholarly journals Modified Pringle Maneuver for Laparoscopic Liver Resection

2014 ◽  
Vol 22 (3) ◽  
pp. 852-852 ◽  
Author(s):  
Takeo Nomi ◽  
David Fuks ◽  
Aditya Agrawal ◽  
Mahendran Govindasamy ◽  
Kenichiro Araki ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Pringle Maneuver

scholarly journals Totally intra-corporeal Pringle maneuver during laparoscopic liver resection

HPB ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 128-131 ◽  
Author(s):  
Andrea Laurenzi ◽  
Daniel Cherqui ◽  
Rodrigo Figueroa ◽  
René Adam ◽  
Eric Vibert ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Pringle Maneuver
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