Background. The Pringle maneuver is widely used in liver surgery to reduce intraoperative blood loss. 1 However, total vascular inflow occlusion is frequently associated with ischemia reperfusion injury leading to postoperative liver dysfunction and impaired recovery. 2-4 We describe herein an original procedure of modified Pringle maneuver (MPM) during laparoscopic liver resection with selective clamping of hepatic arterial inflow.
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