Alternative Laparoscopic Intracorporeal Pringle Maneuver by Huang's Loop.

Abstract

This paper aims to describe an intracorporeal tourniquet method for laparoscopic Pringle maneuver (PM). One shortened Foley tube with side-hole on the tip was put into the abdomen. Then, the tail was pulled out through the side-hole to make a loop to encircle porta hepatis for inflow control. It is easy to keep the tension by a metallic clip, and when released, the clip can be removed and the loop loosened. Therefore, PM could be performed inside the abdomen without special instrument nor extra trocar port. The intracorporeal Pringle maneuver with Huang's loop could be routinely used during laparoscopic liver resection even for a laparoscopic beginner because it is so easily learnt, safe, and effective.