title: Laparoscopic Pringle's manoeuvre for liver resection?: how I do it.
abstract: Although experience with the laparoscopic approach for liver resection has increased in recent years, it still remains a challenging procedure. One of the manoeuvres to reduce catastrophic haemorrhage is occlusion of hepatic inflow by compression of the hepato-duodenal ligament, the so-called Pringle's manoeuvre. One of the limitations of laparoscopic liver resection is the safe placement of a tape around the hepato-duodenal ligament to facilitate intermittent clamping of the porta-hepatis (Pringle's manoeuvre) prior to hepatic transection. We present a novel, safe and efficient technique that has evolved during this series of laparoscopic liver resections.
authors.affiliation: Department of Hepatopancreatobiliary and Transplantation Surgery, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Tyne and Wear, Great Britain.
authors.forename: Rehan
authors.initials: R
authors.lastname: Saif
authors.forename: Mathew
authors.initials: M
authors.lastname: Jacob
authors.forename: Stuart
authors.initials: S
authors.lastname: Robinson
authors.forename: Gourab
authors.initials: G
authors.lastname: Sen
authors.forename: Derek
authors.initials: D
authors.lastname: Manas
authors.forename: Steve
authors.initials: S
authors.lastname: White
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000473:pathology; D013505:Digestive System Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008099:Liver / Q000473:pathology / Q000601:surgery*; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged