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Safe and feasible inflow occlusion in laparoscopic liver resection

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Abstract

Background

A major challenge in laparoscopic liver resection to avoid massive hemorrhage from the transection plane.

Methods

This study investigated 32 consecutive patients who underwent laparoscopic or laparoscopically assisted hepatic resection and had the hepatoduodenal ligament encircled by vessel tape using an Endo Retract Maxi as a tourniquet for complete interruption of blood inflow to the liver.

Results

Laparoscopic encircling of the hepatoduodenal ligament was performed in a few minutes without any complications for any of the 32 patients.

Conclusions

Laparoscopic Pringle’s maneuver using an Endo Retract Maxi can be performed easily for all patients undergoing laparoscopic liver resection.

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Authors and Affiliations

  1. Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba, 260-8717, Japan

    Akihiro Cho, Hiroshi Yamamoto, Matsuo Nagata, Nobuhiro Takiguchi, Hideaki Shimada, Osamu Kainuma, Hiroaki Souda, Hisashi Gunji, Akinari Miyazaki, Atsushi Ikeda & Ikuko Matsumoto

Authors
  1. Akihiro Cho
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  2. Hiroshi Yamamoto
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  3. Matsuo Nagata
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  4. Nobuhiro Takiguchi
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  5. Hideaki Shimada
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  6. Osamu Kainuma
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  7. Hiroaki Souda
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  8. Hisashi Gunji
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  9. Akinari Miyazaki
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  10. Atsushi Ikeda
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  11. Ikuko Matsumoto
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Corresponding author

Correspondence to Akihiro Cho.

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Cho, A., Yamamoto, H., Nagata, M. et al. Safe and feasible inflow occlusion in laparoscopic liver resection. Surg Endosc 23, 906–908 (2009). https://doi.org/10.1007/s00464-008-0257-6

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  • DOI: https://doi.org/10.1007/s00464-008-0257-6

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