Related Experiment Video
Updated: May 10, 2026
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Clinical usefulness of endo intestinal clips during Pringle's maneuver in laparoscopic liver resection: a technical
Koji Komeda1, Michihiro Hayashi, Yoshihiro Inoue
1Department of General and Gastroenterological Surgery, Osaka Medical College Hospital, Osaka, Japan. sur115@poh.osaka-med.ac.jp
Background:
Control of bleeding is important in parenchymal transection during laparoscopic liver resection. We suggest a new technique using Endo intestinal clips for the intestinal tract to achieve easy, safe hepatoduodenal ligament clamping during laparoscopic liver resection.
Methods:
In this study, 10 consecutive patients underwent pure laparoscopic liver resection. Pringle's maneuver was performed using Endo intestinal clips directly on the hepatoduodenal ligament.
Results:
Laparoscopic Pringle's maneuver using Endo intestinal clips is very easy and safe. In this series, Pringle's maneuver was used a mean of 3.4 times (range, 1 to 5) in each case. Mean operative time was 271.0 minutes (range, 105 to 415 min) and mean volume of intraoperative blood loss was 119.5 mL (range, 10 to 320 mL). No intraoperative or postoperative morbidity or mortality was encountered.
Conclusions:
Pringle's maneuver using Endo intestinal clips can be performed easily and safely during laparoscopic liver resection.
