Laparoscopic Pringle maneuver: how we do it?
Fiche publication
Date publication
août 2016
Journal
Hepatobiliary surgery and nutrition
Auteurs
Membres identifiés du Cancéropôle Est :
Pr PESSAUX Patrick
Tous les auteurs :
Piardi T, Lhuaire M, Memeo R, Pessaux P, Kianmanesh R, Sommacale D
Lien Pubmed
Résumé
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.
Référence
Hepatobiliary Surg Nutr. 2016 Aug;5(4):345-9