Extracorporeal Pringle for laparoscopic liver resection

Dua, Monica M.; Worhunsky, David J.; Hwa, Kimberly; Poultsides, George A.; Norton, Jeffrey A.; Visser, Brendan C.

doi:10.1007/s00464-014-3801-6

Cited by 37 publications

(15 citation statements)

References 19 publications

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“…The use of an intermittent Pringle's manoeuvre has been reported to have no detrimental effects on post-operative liver function (71) . Continuous hemi-hepatic inflow control has been shown to reduce blood loss compared to an intermittent Pringle's manoeuvre with no detriment to post-operative liver function (72) .…”

Section: What Are the Haemostatic Techniques During Laparoscopic Livementioning

confidence: 97%

The Southampton Consensus Guidelines for Laparoscopic Liver Surgery

Aldrighetti²,

et al. 2018

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The European Guidelines Meeting for Laparoscopic Liver Surgery has produced a set of clinical practice guidelines that have been independently validated for the safe development and progression of laparoscopic liver surgery. The Southampton Guidelines have amalgamated the available evidence and a wealth of experts' knowledge taking in consideration the relevant stakeholders' opinions and complying with the international methodology standards.

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Section: What Are the Haemostatic Techniques During Laparoscopic Livementioning

confidence: 97%

The Southampton Consensus Guidelines for Laparoscopic Liver Surgery

Aldrighetti²,

et al. 2018

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“…The detailed procedure of IPM is slightly different from each center, with repeated clamping less than 10~20 min followed by 5~10 min of reperfusion [22,29,40]. Prolonged PM…”

Section: Plos Onementioning

confidence: 99%

“…Second, only one western series [22] was identified in this meta-analysis, which would weaken the conclusion of this study because the epidemiology between the west and east was different. Third, the procedure of IPM was similarly worldwide, but the durations of each IPM were from 10 min to 20 min [22,29,40]. Fourth, occlusion time and course of IPM were also the key for I/R, but details on these issues were unavailable.…”

Section: Plos Onementioning

confidence: 99%

Does the intermittent Pringle maneuver affect the recurrence following surgical resection for hepatocellular carcinoma? A systematic review

Lin

et al. 2020

PLoS ONE

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Background and aimTo evaluate the effect of intermittent pringle maneuver (IPM) on the long-term prognosis and recurrence of hepatocellular carcinoma (HCC). MethodsEligible studies were identified by PubMed and other databases from Jan 1st 1990 to Mar 31st 2019. Hazard ratios (HR) with 95% confidence interval (CI) were calculated to evaluate the effects of IPM on the long-term prognosis and recurrence of patients with HCC. ResultsSix studies were enrolled in this meta-analysis. Results showed that there were no differences between IPM group and non-IPM group in the pooled HRs for the overall survival (OS) and disease-free survival (DFS) (HR 1.04, 95%CI 0.84~1.28, P = 0.74; HR 0.93, 95% CI 0.81~1.07, P = 0.29; respectively). However, subgroup analysis showed that the pooled Odd ratios (OR) for the 1-year OS and DFS rates of the IPM group when compared with the non-IPM group were 0.65 (95% CI 0.45~0.94, P = 0.02), 0.38 (95% CI 0.20~0.72, P = 0.003), respectively. In addition, there were no significant differences in the proportions of liver cirrhosis, HBsAg (+), Child-Pugh A class, multiple tumor, vascular invasion, and major hepatectomy between groups of IPM and non-IPM. PLOS ONE PLOS ONE | https://doi.org/10.et al. (2020) Does the intermittent Pringle maneuver affect the recurrence following surgical resection for hepatocellular carcinoma? A systematic review. PLoS ONE 15(3): e0229870.

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“…Several reports described the techniques for extracorporeal PM, but the steps of these procedures are similar . The extracorporeal technique usually uses synthetic or cloth tape, applied with a grasper or articulating dissector, to encircle the hepatoduodenal ligament.…”

Section: Pringle's Maneuvermentioning

confidence: 99%

“…As of now, there have been no randomized control trials to compare the extracorporeal and intracorporeal techniques. However, the advantages and disadvantages of both methods were reported in case series and evaluated by experts . Regardless, the most appropriate strategy should be chosen based on patient characteristics in order to avoid injury and obtain the favorable outcome.…”

Section: Pringle's Maneuvermentioning

confidence: 99%

Useful maneuvers for precise laparoscopic liver resection

Chanwat

2018

Asian J Endoscop Surgery

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Laparoscopic liver resection has evolved over the past decade and nearly replaced open exploration. This procedure not only provides comparable oncological outcomes, but it also has improved recovery after surgery. Many of the challenges presented by limitations of instruments and techniques have been overcome through adaptations and new developments, and it is possible that the remaining obstacles will be overcome within a few years. Moreover, as surgeons continue to gain experience, their technical knowledge has supported further improvement in minimally invasive approaches. This review examines every important procedures in performing a precise laparoscopic liver resection.

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Extracorporeal Pringle for laparoscopic liver resection

Abstract: Extracorporeal tourniquet placement in lapLR is a quick and safe method of gaining control for inflow occlusion. Routine adoption of laparoscopic Pringle maneuver facilitates low conversion rates without liver injury.

Cited by 37 publications

References 19 publications

The Southampton Consensus Guidelines for Laparoscopic Liver Surgery

The Southampton Consensus Guidelines for Laparoscopic Liver Surgery

Does the intermittent Pringle maneuver affect the recurrence following surgical resection for hepatocellular carcinoma? A systematic review

Useful maneuvers for precise laparoscopic liver resection

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