Safe and feasible inflow occlusion in laparoscopic liver resection.
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.
Cho
Akihiro
A
Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba 260-8717, Japan. acho@chiba-cc.jp
Yamamoto
Hiroshi
H
Nagata
Matsuo
M
Takiguchi
Nobuhiro
N
Shimada
Hideaki
H
Kainuma
Osamu
O
Souda
Hiroaki
H
Gunji
Hisashi
H
Miyazaki
Akinari
A
Ikeda
Atsushi
A
Matsumoto
Ikuko
I
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