A simple technique for vascular control during hepatectomy: the half-Pringle

Hemorrhage during hepatectomy remains the major cause of morbidity and mortality associated with this surgery. Traditionally, a Pringle technique is employed to reduce vascular inflow during parenchymal transection.

This paper describes a simple method to achieve unilateral vascular control during hepatic surgery. The technique has been used in the most recent 10 hepatectomies performed in this unit.

During the hepatectomies, the pattern of vascular inflow was documented with a series of color Doppler images. These images illustrated the effectiveness of the maneuver.