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Related Experiment Video

Updated: Feb 19, 2026

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

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Laparoscopic Hepatic Resection Using Extracorporeal Pringle Maneuver.

Yoshihiro Inoue1, Yusuke Suzuki1, Kensuke Fujii1

  • 1Department of General and Gastroenterological Surgery, Osaka Medical College Hospital , Takatsuki City, Japan .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|November 4, 2017
PubMed
Summary

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The Pringle maneuver may reduce bleeding during laparoscopic hepatic resection (LHR), making liver transection easier for surgeons. While not clinically significant, this technique offers a simple and convenient method for controlling intraoperative hemorrhage.

Area of Science:

  • Minimally invasive surgery
  • Hepatobiliary surgery
  • Surgical oncology

Background:

  • Laparoscopic hepatic resection (LHR) is a minimally invasive approach for liver surgery.
  • Intraoperative hemorrhage remains a significant challenge during LHR.
  • The Pringle maneuver aims to reduce blood loss by occluding liver inflow.

Purpose of the Study:

  • To evaluate the safety and effectiveness of the Pringle maneuver during LHR.
  • To assess the impact of the Pringle maneuver on intraoperative blood loss and postoperative outcomes.

Main Methods:

  • Retrospective analysis of 83 patients undergoing LHR.
  • Comparison of outcomes between patients with and without the Pringle maneuver.
  • Assessment of surgical outcomes, safety, and utility.
Keywords:
Pringle maneuverhepatic inflowlaparoscopic hepatic resection

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Main Results:

  • Significantly lower bleeding in LHR cases with the Pringle maneuver (P=.0314).
  • No significant differences in surgery duration, surgical margin, curative resection rates, or complications.
  • No significant differences in postoperative laboratory data.

Conclusions:

  • The Pringle maneuver may reduce intraoperative blood loss during LHR, though not clinically significant.
  • Reduced bleeding improves operator experience by keeping the liver stump dry.
  • Extracorporeal Pringle maneuver with cotton tape is simple, convenient, and quick.