What does Pringle mean in surgery?
What does Pringle mean in surgery?
The Pringle maneuver is a procedure to stop the liver’s blood supply during a liver surgery. A clamp is applied over the hepatic vascular pedicle, the channel that contains the hepatic duct, hepatic artery and the portal vein. The hepatic artery and the portal vein are the blood vessels that carry blood to the liver.
What is occluded in Pringle maneuver?
The Pringle maneuver, which is used to reduce liver hemorrhage, is a manual occlusion of the hepatoduodenal ligament to interrupt blood flow to the liver.
How long does an Alpps procedure take?
The operating time was 175 min, the blood loss was 600 mL, and no blood transfusion was necessary after this procedure. ALPPS first procedure with plastic bag.
Where does the majority of bleeding come from during a liver resection?
Most blood loss during liver resection occurs during parenchymal transection.
Who invented the Pringle maneuver?
The Pringle manoeuvre was developed by James Hogarth Pringle in the early 1900s in order to attempt to control bleeding during severe liver traumatic injuries. He was a graduate of medicine at the University of Edinburgh Medical School.
What is Porta in human body?
The porta hepatis or transverse fissure of the liver is a short but deep fissure, about 5 cm long, extending transversely beneath the left portion of the right lobe of the liver, nearer its posterior surface than its anterior border.
How long can you Pringle?
Conclusion The upper limit of tolerance of the liver to intermittent Pringle maneuver is 120 minutes.
Who created the Alpps procedure?
3.1. Dr Hans Schlitt first performed “ALPPS” in Regensburg, Germany in 2007. He had planned to perform an extended right hepatectomy, but during surgery he determined that the future cholestatic liver remnant was too small to sustain the patient, so he quickly made a surprising decision.
What does Alpps stand for?
ALPPS (associating liver partition and portal vein ligation for staged hepatectomy) is a novel two-stage strategy to induce rapid hypertrophy of the future liver remnant (FLR) when patients are in danger of postoperative liver failure due to insufficient FLR.
How long can you live after liver resection?
Long-term outcomes Actuarial overall survival was 57% at 3 years, 40% at 5 years, and 26% at 10 years, with a median survival of 46 months. Disease-free survival was 63% at 1 year, 28% at 3 years, and 20% at 5 years with a median recurrence-free survival of 16 months.
How long does liver resection pain last?
Your Recovery If the doctor removed the right side of your liver, your gallbladder was also removed. Your belly will be sore after liver resection. This usually lasts about 1 to 2 weeks.
What is the hepatic triad?
Noun. portal triad (plural portal triads) (anatomy) A distinctive component of a hepatic lobule, found running along each of the lobule’s corners, that consists of branches of the hepatic artery proper, hepatic portal vein and bile ducts, as well as other structures.