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.

Key words::

• Liver resection
• laparoscopy
• Pringle's manoeuvre
• colorectal liver metastases

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.