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.