title: Clinical usefulness of endo intestinal clips during Pringle's maneuver in laparoscopic liver resection: a technical report.
abstract: BACKGROUND
  Control of bleeding is important in parenchymal transection during laparoscopic liver resection. We suggest a new technique using Endo intestinal clips for the intestinal tract to achieve easy, safe hepatoduodenal ligament clamping during laparoscopic liver resection.
  
  
  METHODS
  In this study, 10 consecutive patients underwent pure laparoscopic liver resection. Pringle's maneuver was performed using Endo intestinal clips directly on the hepatoduodenal ligament.
  
  
  RESULTS
  Laparoscopic Pringle's maneuver using Endo intestinal clips is very easy and safe. In this series, Pringle's maneuver was used a mean of 3.4 times (range, 1 to 5) in each case. Mean operative time was 271.0 minutes (range, 105 to 415 min) and mean volume of intraoperative blood loss was 119.5 mL (range, 10 to 320 mL). No intraoperative or postoperative morbidity or mortality was encountered.
  
  
  CONCLUSIONS
  Pringle's maneuver using Endo intestinal clips can be performed easily and safely during laparoscopic liver resection.
authors.affiliation: Department of General and Gastroenterological Surgery, Osaka Medical College Hospital, Osaka, Japan. sur115@poh.osaka-med.ac.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Komeda
authors.forename: Michihiro
authors.initials: M
authors.lastname: Hayashi
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Inoue
authors.forename: Tetsunosuke
authors.initials: T
authors.lastname: Shimizu
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Asakuma
authors.forename: Fumitoshi
authors.initials: F
authors.lastname: Hirokawa
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Uchiyama
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D016558:Hemostasis, Endoscopic / Q000295:instrumentation*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000601:surgery*; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013525:Surgical Instruments; D016896:Treatment Outcome