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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
Alternative Laparoscopic Intracorporeal Pringle Maneuver by Huang's Loop
Jian-Wei Huang1, Wen-Lung Su2, Shen-Nien Wang3
1Division of General Surgery, Kaohsiung Medical University Hospital, No. 100, Tzyou 1st Road Kaohsiung 807, Kaohsiung, Taiwan.
World Journal of Surgery
|March 29, 2018
Summary
This study introduces an intracorporeal tourniquet for laparoscopic Pringle maneuver (PM), simplifying liver inflow control. This safe and effective method requires no special instruments and is easily learned by surgeons.
Area of Science:
- Laparoscopic surgery
- Hepatobiliary surgery
- Surgical innovation
Background:
- The Pringle maneuver (PM) is crucial for controlling liver inflow during resections.
- Traditional PM methods can be cumbersome in laparoscopic settings.
Purpose of the Study:
- To describe a novel intracorporeal tourniquet technique for laparoscopic Pringle maneuver (PM).
- To present a simplified approach for liver inflow control during laparoscopic liver surgery.
Main Methods:
- A modified Foley tube is used to create an intracorporeal loop around the porta hepatis.
- The loop is tightened via a metallic clip for tension control and easily released.
Main Results:
- The technique allows for effective inflow control within the abdomen.
- Tension is easily maintained and released using a simple metallic clip.
Conclusions:
- This intracorporeal tourniquet method for PM is safe, effective, and easy to learn.
- It eliminates the need for specialized instruments or extra ports, making it suitable for routine laparoscopic liver resections.
