title: Safe and feasible inflow occlusion in laparoscopic liver resection.
abstract: BACKGROUND
  A major challenge in laparoscopic liver resection to avoid massive hemorrhage from the transection plane.
  
  
  METHODS
  This study investigated 32 consecutive patients who underwent laparoscopic or laparoscopically assisted hepatic resection and had the hepatoduodenal ligament encircled by vessel tape using an Endo Retract Maxi as a tourniquet for complete interruption of blood inflow to the liver.
  
  
  RESULTS
  Laparoscopic encircling of the hepatoduodenal ligament was performed in a few minutes without any complications for any of the 32 patients.
  
  
  CONCLUSIONS
  Laparoscopic Pringle's maneuver using an Endo Retract Maxi can be performed easily for all patients undergoing laparoscopic liver resection.
authors.affiliation: Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba 260-8717, Japan. acho@chiba-cc.jp
authors.forename: Akihiro
authors.initials: A
authors.lastname: Cho
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Matsuo
authors.initials: M
authors.lastname: Nagata
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Shimada
authors.forename: Osamu
authors.initials: O
authors.lastname: Kainuma
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Souda
authors.forename: Hisashi
authors.initials: H
authors.lastname: Gunji
authors.forename: Akinari
authors.initials: A
authors.lastname: Miyazaki
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.forename: Ikuko
authors.initials: I
authors.lastname: Matsumoto
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000098:blood supply* / Q000601:surgery; D008107:Liver Diseases / Q000601:surgery*; D016896:Treatment Outcome