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Updated: May 31, 2026
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Laparoscopic Pringle's manoeuvre for liver resection?: how I do it.
Rehan Saif1, Mathew Jacob, Stuart Robinson
1Department of Hepatopancreatobiliary and Transplantation Surgery, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Tyne and Wear, Great Britain.
Summary
Laparoscopic liver resection is challenging, but a new technique improves the safety of the Pringle maneuver for controlling bleeding. This method enhances the Pringle maneuver for safer laparoscopic liver surgery.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgery
- Surgical innovation
Background:
- Laparoscopic liver resection is increasingly common but technically demanding.
- Hemorrhage control is critical, with the Pringle maneuver being a key technique.
- Safely applying the Pringle maneuver during laparoscopic procedures presents challenges.
Purpose of the Study:
- To introduce a novel technique for the Pringle maneuver in laparoscopic liver resection.
- To address the limitations of tape placement around the hepatoduodenal ligament.
- To enhance the safety and efficiency of controlling hepatic inflow during surgery.
Main Methods:
- Development of an evolved technique for laparoscopic Pringle maneuver.
- Application of the technique during a series of laparoscopic liver resections.
- Focus on safe and efficient placement of tape for porta-hepatis clamping.
Main Results:
- The presented technique proved to be safe and efficient.
- It facilitated intermittent clamping of the porta-hepatis during liver transection.
- The method evolved from practical experience in laparoscopic liver resections.
Conclusions:
- A novel, safe, and efficient technique for laparoscopic Pringle maneuver has been developed.
- This technique overcomes challenges in tape placement for hepatic inflow occlusion.
- It contributes to improved outcomes in laparoscopic liver surgery.
