Dissecting aneurysm of the proper hepatic artery after laparoscopic hepatectomy possibly related to the Pringle maneuver: A case report

Kurimoto, Makoto; Seo, Satoru; Shimizu, Hironori; Masano, Yuki; Ogiso, Satoshi; Anazawa, Takayuki; Ishii, Takamichi; Hata, Koichiro; Masui, Toshihiko; Taura, Kojiro; Hatano, Etsuro

doi:10.1111/ases.13030

Cited by 3 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The advantage of this approach is that the in vitro operation is relatively convenient compared with the in vivo operation, which saves operation time. The drawback is that one of the potential disadvantages of using additional cannulas for extracorporeal PM (as compared with intracorporeal PM) is the risk of gas leakage from the abdominal cavity [19], and the secondary narrow strip may sometimes cause injury to the conduit within the hepatoduodenal ligament [20,21]. Onda S et al [22] reported a new laparoscopic Satinsky vascular clamp.…”

Section: Discussionmentioning

confidence: 99%

The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

Shen,

Jiang,

Chu

et al. 2024

Langenbecks Arch Surg

View full text Add to dashboard Cite

In this paper, a single-hand-operated hepatic pedicle clamp was introduced, and its application value in laparoscopic liver tumor resection was preliminarily discussed. MethodsThe clinical data of 67 patients who underwent laparoscopic liver tumor resection at the First A liated Hospital of Wannan Medical College from March 2019 to October 2023 were retrospectively analyzed. The Pringle maneuver was performed with a hepatic pedicle clamp during the operation. The preoperative, intraoperative and postoperative clinical data were observed and recorded. ResultsSixty-seven patients had a median block number, block time, intraoperative blood loss, and postoperative length of hospital stay of 4, 55 min, 400 ml, and 7 days, respectively. The average operation time was 304.9 ± 118.4 min, the time required for each block was 3.2 ± 2.4 s, and the time required for each removed block was 2.6 ± 0.7 s. None of the patients developed portal vein thrombosis or hepatic artery aneurysm formation. The median postoperative hospital stay was 7 (3-21) days. ConclusionThe hepatic pedicle clamping clamp is simple to use in laparoscopic hepatectomy, optimizes the operation process, and has a reliable blocking effect. It is recommended for clinical application.

show abstract

Section: Discussionmentioning

confidence: 99%

The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

Shen,

Jiang,

Chu

et al. 2024

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…If the external tube is not tightly clamped, it could easily cause pneumoperitoneum leakage. Moreover, reports suggest that narrow cloth strips may sometimes cause damage to the blood vessels within the hepatoduodenal ligament, leading to hepatic artery aneurysm and portal vein thrombosis [ 17 , 18 ]. Another disadvantage of extracorporeal occlusion is that it can be challenging to perform when the patient is in the left lateral decubitus position [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“Hooking method” for hepatic inflow control: a new approach for laparoscopic Pringle maneuver

Zhou,

Wang,

et al. 2023

World J Surg Onc

View full text Add to dashboard Cite

Background The laparoscopic Pringle maneuver is crucial for controlling bleeding during laparoscopic hepatectomy. In this study, we introduce a new laparoscopic Pringle maneuver and preliminarily investigate its application in laparoscopic hepatectomy. Methods We collected and analyzed the clinical data of 17 consecutive patients who underwent laparoscopic hepatectomy at the Department of Hepatic Surgery, the First Affiliated Hospital of the University of Science and Technology of China, from January 2022 to January 2023. All patients underwent the hooking method for intermittent occlusion of hepatic inflow. Intraoperative and postoperative clinical indices were observed and recorded. Results All 17 patients underwent laparoscopic hepatectomy with hepatic inflow control using the hooking method. Four patients with adhesions under the hepatoduodenal ligament successfully had occlusion loops placed using the hooking method combined with Zhang’s modified method during surgery. The median occlusion time for the 17 patients was 34 (12–60) min, and the mean operation time was 210 ± 70 min. The mean intraoperative blood loss was 145 ± 86 ml, and no patients required intraoperative blood transfusion. The patients’ postoperative peak AST was 336 ± 183 U/L, and the postoperative peak ALT was 289 ± 159 U/L. Postoperative complications occurred in 2 patients (11.8%), including 1 Clavien-Dindo grade I and 1 Clavien-Dindo grade II complication. No Clavien-Dindo grade IIIa or higher complications or deaths occurred in any patient. None of the patients developed portal vein thrombosis or hepatic artery aneurysm formation. The median postoperative hospital stay was 6 (4–14) days. Conclusion The hooking method combines the advantages of both intracorporeal Pringle maneuver and extracorporeal Pringle maneuver. It is a simple, safe, and effective method for controlling hepatic inflow and represents a promising approach for performing totally intracorporeal laparoscopic Pringle maneuver.

show abstract

The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

Shen,

Jiang,

CHU

et al. 2024

Preprint

View full text Add to dashboard Cite

Objective In this paper, a single-hand-operated hepatic pedicle clamp was introduced, and its application value in laparoscopic liver tumor resection was preliminarily discussed. Methods The clinical data of 67 patients who underwent laparoscopic liver tumor resection at the First Affiliated Hospital of Wannan Medical College from March 2019 to October 2023 were retrospectively analyzed. The Pringle maneuver was performed with a hepatic pedicle clamp during the operation. The preoperative, intraoperative and postoperative clinical data were observed and recorded. Results Sixty-seven patients had a median block number, block time, intraoperative blood loss, and postoperative length of hospital stay of 4, 55 min, 400 ml, and 7 days, respectively. The average operation time was 304.9 ± 118.4 min, the time required for each block was 3.2 ± 2.4 s, and the time required for each removed block was 2.6 ± 0.7 s. None of the patients developed portal vein thrombosis or hepatic artery aneurysm formation. The median postoperative hospital stay was 7 (3–21) days. Conclusion The hepatic pedicle clamping clamp is simple to use in laparoscopic hepatectomy, optimizes the operation process, and has a reliable blocking effect. It is recommended for clinical application.

show abstract

Dissecting aneurysm of the proper hepatic artery after laparoscopic hepatectomy possibly related to the Pringle maneuver: A case report

Cited by 3 publications

References 9 publications

The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

“Hooking method” for hepatic inflow control: a new approach for laparoscopic Pringle maneuver

The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

Contact Info

Product

Resources

About