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Updated: Feb 15, 2026
12:27
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
3.8K
Pringle maneuver in robotic liver surgery: preliminary study.
Benedetta Pesi1, Luca Moraldi2, Ilenia Bartolini2
1Oncological and Robotic General Surgery, Careggi University Hospital, Florence, Italy - benedettaps@gmail.com.
Minerva Chirurgica
|February 6, 2018
Summary
Robotic liver resection offers a safe alternative to traditional methods, minimizing blood loss and the need for Pringle maneuver. This approach allows for precise dissection and vascular identification during complex liver surgeries.
Area of Science:
- Minimally Invasive Surgery
- Hepatobiliary Surgery
- Surgical Oncology
Background:
- Unpredictable intraoperative bleeding complicates liver resection.
- Pringle maneuver, while effective for bleeding control, poses risks due to prolonged ischemia.
- Robotic surgery enhances visualization and precision for liver procedures.
Purpose of the Study:
- To evaluate blood loss in robotic liver resections.
- To assess the necessity of the Pringle maneuver during robotic liver surgery.
Main Methods:
- Analysis of 33 patients undergoing robotic liver resections.
- Inclusion of patients with benign and malignant liver lesions.
- Data collection on operative time, blood loss, and Pringle maneuver use.
Main Results:
- Average operative time was 270 minutes.
- Estimated blood loss averaged 100 mL.
- Pringle maneuver was performed in 7 patients (21%).
Conclusions:
- Robotic liver resection can be performed safely.
- Systematic use of the Pringle maneuver may not be necessary in robotic liver surgery.
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