Alternative Laparoscopic Intracorporeal Pringle Maneuver by Huang's Loop

Abstract

Aim: This paper aims to describe an intracorporeal tourniquet method for laparoscopic Pringle maneuver (PM).

Methods: One shortened Foley tube with side-hole on the tip was put into the abdomen. Then, the tail was pulled out through the side-hole to make a loop to encircle porta hepatis for inflow control.

Result: It is easy to keep the tension by a metallic clip, and when released, the clip can be removed and the loop loosened.

Conclusion: Therefore, PM could be performed inside the abdomen without special instrument nor extra trocar port. The intracorporeal Pringle maneuver with Huang's loop could be routinely used during laparoscopic liver resection even for a laparoscopic beginner because it is so easily learnt, safe, and effective.