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Related Experiment Video

Updated: Jun 12, 2025

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

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

Published on: June 16, 2023

The Sling Technique for Laparoscopic Liver Mobilization.

Andrew N de la Torre^1,2, Justin Adibi^1,3, Zaineb Zubair³

¹CarePoint Health, Hudson County, New Jersey, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|September 18, 2024

Summary

A novel, inexpensive packing tape sling technique facilitates intracorporeal liver mobilization for parenchymal-sparing resections in hepatoma patients. This method enhances safety and effectiveness in minimal access liver surgery.

Keywords:

Intracorporial liver mobilization Laparoscopic liver resection

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Last Updated: Jun 12, 2025

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

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Published on: June 16, 2023

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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

Published on: March 10, 2023

Area of Science:

Hepatobiliary Surgery
Minimally Invasive Surgery
Surgical Oncology

Background:

Liver surgery, including open, laparoscopic, and robotic approaches, carries inherent risks.
Hepatoma patients often present with liver fibrosis or cirrhosis, complicating surgical procedures.
Parenchymal-sparing liver resections are increasingly crucial for optimal patient outcomes.

Purpose of the Study:

To present a cost-effective technique for intracorporeal liver mobilization during laparoscopic surgery.
To demonstrate the utility of a packing tape sling for liver manipulation in parenchymal-sparing resections.

Main Methods:

A retrospective review of over 150 laparoscopic liver surgeries was conducted.
A 1-inch packing tape was utilized as an intracorporeal sling to mobilize the liver.
This technique facilitated division of liver ligaments and optimal positioning for parenchymal transection.

Main Results:

The packing tape sling technique effectively enabled intracorporeal liver mobilization.
This method proved beneficial for various resection types, including non-anatomic, anatomic, and major resections.
The technique supports tissue-sparing approaches in liver surgery.

Conclusions:

Intracorporeal liver mobilization using a packing tape sling is a feasible and valuable technique.
This approach can facilitate liver resection, particularly in minimally invasive procedures.
Surgeons performing minimal access resections should also master laparoscopic ultrasound and liver transplant techniques.