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Updated: Jun 6, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Spontaneous splenic rupture during Pringle maneuver in liver surgery
Jesse M van Buijtenen1, Bas Lamme, Erik J Hesselink
1Jesse M van Buijtenen, Department of Surgery, Westfriesgasthuis, PO Box 600, AR Hoorn Hoorn 1620, The Netherlands.
Abstract:
During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.
