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Published in: Surgical Endoscopy 4/2009

01-04-2009 | Technique

Safe and feasible inflow occlusion in laparoscopic liver resection

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

Published in: Surgical Endoscopy | Issue 4/2009

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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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Metadata
Title
Safe and feasible inflow occlusion in laparoscopic liver resection
Authors
Akihiro Cho
Hiroshi Yamamoto
Matsuo Nagata
Nobuhiro Takiguchi
Hideaki Shimada
Osamu Kainuma
Hiroaki Souda
Hisashi Gunji
Akinari Miyazaki
Atsushi Ikeda
Ikuko Matsumoto
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-0257-6

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