Related Experiment Video
Updated: Jun 26, 2026
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Safe and feasible inflow occlusion in laparoscopic liver resection
Akihiro Cho1, Hiroshi Yamamoto, Matsuo Nagata
1Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba 260-8717, Japan. acho@chiba-cc.jp
Background:
A major challenge in laparoscopic liver resection to avoid massive hemorrhage from the transection plane.
Methods:
This study investigated 32 consecutive patients who underwent laparoscopic or laparoscopically assisted hepatic resection and had the hepatoduodenal ligament encircled by vessel tape using an Endo Retract Maxi as a tourniquet for complete interruption of blood inflow to the liver.
Results:
Laparoscopic encircling of the hepatoduodenal ligament was performed in a few minutes without any complications for any of the 32 patients.
Conclusions:
Laparoscopic Pringle's maneuver using an Endo Retract Maxi can be performed easily for all patients undergoing laparoscopic liver resection.
