Half-Pringle Maneuver: A Useful Tool in Laparoscopic Liver Resection

Abstract

INTRODUCTION: Laparoscopic liver resections are becoming a common procedure, and bleeding remains the major concern during parenchymal transection. Total vascular inflow occlusion can be performed, but ischemic reperfusion injuries can lead to postoperative morbidity. On the other hand, hemihepatic inflow occlusion, leading to hemiliver ischemia, decreases the amount of liver parenchyma submitted to reperfusion damage and offers the advantage of reduced blood loss. OBJECTIVE: The aim of this work was to describe our experience with laparoscopic the half-Pringle maneuver for segmentar or nonanatomic liver resctions. PATIENTS AND METHODS: Eight patients submitted to laparoscopic liver resectio..