title: Laparoscopic Pringle maneuver: how we do it?
abstract: Laparoscopic liver resection (LLR) is technically possible with new devices which allow a relatively bloodless liver parenchymal transection. Despite, the main concern remains intraoperative hemorrhage. Currently, perioperative excessive blood loss during LLR is difficult to control with necessity of laparotomy conversion. Moreover, major blood loss requires transfusion and increases postoperative morbidity and mortality. When in-flow is limited by the hepatic pedicle clamping, it reduces intraoperative blood loss. The Pringle maneuver, first described in 1908, is the simplest method of inflow occlusion and currently can be achieved during LLR. The purpose of this note was to describe two different modalities of Pringle maneuver used by two different teams during LLR.
authors: Department of General, Digestive and Endocrine Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ;
authors: Tullio
authors: T
authors: Piardi
authors: Department of General, Digestive and Endocrine Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ;
authors: Martin
authors: M
authors: Lhuaire
authors: Department of Hepato-Biliary and Pancreatic Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors: Riccardo
authors: R
authors: Memeo
authors: Department of Hepato-Biliary and Pancreatic Surgery, Nouvel Hôpital Civil, Strasbourg, France.
authors: Patrick
authors: P
authors: Pessaux
authors: Department of General, Digestive and Endocrine Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ;
authors: Reza
authors: R
authors: Kianmanesh
authors: Department of General, Digestive and Endocrine Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ;
authors: Daniele
authors: D
authors: Sommacale
keywords: Pringle maneuver; hepatobiliary surgery; laparoscopy