Forty-two patients had a liver resection with the aid of a vascular clamp placed proximal to the resection margin, 35 had a resection with prior dissection and hilar vascular control, and 40 had a resection with intermittent inflow control using a Pringle manoeuvre.
9] The patients randomised to the crush-clamp technique underwent major hepatectomy with vascular inflow occlusion using a continuous Pringle manoeuvre, while in the other groups a routine Pringle manoeuvre was not used.
Options include the Pringle manoeuvre, various combinations of inflow and outflow control, and total hepatic isolation/HVE.
Used in isolation, the Pringle manoeuvre does not reduce venous back-bleeding and is not our technique of choice.
Meanwhile, Yolande Trueman, from EastEnders, pops up as the uncomplaining patient of the week and Michael, operating on his own daughter, performs the Pringle Manoeuvre
Lordan JT, Worthington TR, Quiney N et al 2009 Operative mortality, blood loss and the use of Pringle manoeuvres
in 526 consecutive liver resections Annals of the Royal College of Surgeons of England 91 578-582