A novel Pringle maneuver instrument for laparoscopic hepatectomy
Background: The Pringle maneuver is a classic and commonly used technique in hepatectomy for bleeding control. However, it is not convenient to perform Pringle maneuver in laparoscopic hepatectomy. This study aimed to investigate the value of a novel blocking forceps designed by our center for the P...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844025006930 |
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| author | Chu Hongpeng Wang Yongkai Shen Zhengchao Xi Shihang Jiang Bin Pan Xuan Wang Xiaoming |
| author_facet | Chu Hongpeng Wang Yongkai Shen Zhengchao Xi Shihang Jiang Bin Pan Xuan Wang Xiaoming |
| author_sort | Chu Hongpeng |
| collection | DOAJ |
| description | Background: The Pringle maneuver is a classic and commonly used technique in hepatectomy for bleeding control. However, it is not convenient to perform Pringle maneuver in laparoscopic hepatectomy. This study aimed to investigate the value of a novel blocking forceps designed by our center for the Pringle maneuver in laparoscopic hepatectomy. Methods: Data of patients with liver tumors who underwent laparoscopic hepatectomy between 2017 and 2022 were retrospectively collected. Patients who underwent an intraoperative Pringle maneuver were selected. Cases using the new blocking forceps comprised the new blocking forceps group (NBF group), while cases using the traditional method of binding the hepatoduodenal ligament comprised the traditional group (TRA group). The baseline and perioperative data of the two patient groups were compared and analyzed. Results: A total of 253 cases were included in the analysis, including 169 in the TRA group and 84 in the NBF group. There were no statistically significant differences between the two groups in terms of preoperative examinations and other indicators. The NBF group had a significantly lower number of blocks, total blocking time, intraoperative bleeding, and transfusion ratio than the TRA group. Conclusion: Our self-designed blocking forceps can safely and effectively complete the Pringle maneuver and are convenient to operate, which is conducive to the successful completion of the operation. |
| format | Article |
| id | doaj-art-670eef3795cd4f9a971e870d46cc8383 |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-670eef3795cd4f9a971e870d46cc83832025-02-02T05:29:04ZengElsevierHeliyon2405-84402025-02-01113e42313A novel Pringle maneuver instrument for laparoscopic hepatectomyChu Hongpeng0Wang Yongkai1Shen Zhengchao2Xi Shihang3Jiang Bin4Pan Xuan5Wang Xiaoming6Department of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaCorresponding author. The First Affiliated Hospital of Wannan Medical College, 2 Zheshan West Road, Wuhu, 241000, China.; Department of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241000, ChinaBackground: The Pringle maneuver is a classic and commonly used technique in hepatectomy for bleeding control. However, it is not convenient to perform Pringle maneuver in laparoscopic hepatectomy. This study aimed to investigate the value of a novel blocking forceps designed by our center for the Pringle maneuver in laparoscopic hepatectomy. Methods: Data of patients with liver tumors who underwent laparoscopic hepatectomy between 2017 and 2022 were retrospectively collected. Patients who underwent an intraoperative Pringle maneuver were selected. Cases using the new blocking forceps comprised the new blocking forceps group (NBF group), while cases using the traditional method of binding the hepatoduodenal ligament comprised the traditional group (TRA group). The baseline and perioperative data of the two patient groups were compared and analyzed. Results: A total of 253 cases were included in the analysis, including 169 in the TRA group and 84 in the NBF group. There were no statistically significant differences between the two groups in terms of preoperative examinations and other indicators. The NBF group had a significantly lower number of blocks, total blocking time, intraoperative bleeding, and transfusion ratio than the TRA group. Conclusion: Our self-designed blocking forceps can safely and effectively complete the Pringle maneuver and are convenient to operate, which is conducive to the successful completion of the operation.http://www.sciencedirect.com/science/article/pii/S2405844025006930LaparoscopyHepatectomyPringle maneuverBlocking forceps |
| spellingShingle | Chu Hongpeng Wang Yongkai Shen Zhengchao Xi Shihang Jiang Bin Pan Xuan Wang Xiaoming A novel Pringle maneuver instrument for laparoscopic hepatectomy Heliyon Laparoscopy Hepatectomy Pringle maneuver Blocking forceps |
| title | A novel Pringle maneuver instrument for laparoscopic hepatectomy |
| title_full | A novel Pringle maneuver instrument for laparoscopic hepatectomy |
| title_fullStr | A novel Pringle maneuver instrument for laparoscopic hepatectomy |
| title_full_unstemmed | A novel Pringle maneuver instrument for laparoscopic hepatectomy |
| title_short | A novel Pringle maneuver instrument for laparoscopic hepatectomy |
| title_sort | novel pringle maneuver instrument for laparoscopic hepatectomy |
| topic | Laparoscopy Hepatectomy Pringle maneuver Blocking forceps |
| url | http://www.sciencedirect.com/science/article/pii/S2405844025006930 |
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