A simple technique for vascular control during hepatectomy: the half-Pringle

Background: Hemorrhage during hepatectomy remains the major cause of morbidity and mortality associated with this surgery. Traditionally, a Pringle technique is employed to reduce vascular inflow during parenchymal transection. Methods: This paper describes a simple method to achieve unilateral vascular control during hepatic surgery. The technique has been used in the most recent 10 hepatectomies performed in this unit. Results: During the hepatectomies, the pattern of vascular inflow was documented with a series of color Doppler images. These images illustrated the effectiveness of the maneuver. (C) 2001 Excerpta Medica, Inc. All rights reserved.