Minimally invasive liver resection, including laparoscopic, robotic, and hybrid approaches, has gained popularity for treating liver diseases due to its superior outcomes compared to open surgery. Hemostasis during liver transection is crucial, and the Pringle maneuver has been employed to control bleeding effectively. Various intracorporeal and extracorporeal techniques for performing the Pringle maneuver exist, each with unique advantages and disadvantages. This chapter provides a comprehensive overview of these techniques, including the Rummel tourniquet technique and the Huang Loop, as well as vascular clamp techniques. The choice of technique depends on individual surgical scenarios, and surgeon proficiency remains paramount. While no definitive evidence establishes the superiority of one method over another, understanding these techniques equips surgeons to achieve optimal outcomes in minimally invasive liver resection procedures.

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Minimally Invasive Pringle Maneuvers

  • Hemasat Alkhatib,
  • Ali M. Kara,
  • Ahmad Abou Abbass,
  • Kevin El-Hayek

摘要

Minimally invasive liver resection, including laparoscopic, robotic, and hybrid approaches, has gained popularity for treating liver diseases due to its superior outcomes compared to open surgery. Hemostasis during liver transection is crucial, and the Pringle maneuver has been employed to control bleeding effectively. Various intracorporeal and extracorporeal techniques for performing the Pringle maneuver exist, each with unique advantages and disadvantages. This chapter provides a comprehensive overview of these techniques, including the Rummel tourniquet technique and the Huang Loop, as well as vascular clamp techniques. The choice of technique depends on individual surgical scenarios, and surgeon proficiency remains paramount. While no definitive evidence establishes the superiority of one method over another, understanding these techniques equips surgeons to achieve optimal outcomes in minimally invasive liver resection procedures.