Basic Techniques And Instruments Techniques

Traditional options for achieving haemostasis, such as, suture lig-ation or purse string sutures are possible, but technically difficult and require well-trained surgeons. These techniques are also time-consuming during laparoscopic surgery (Fig. 1). As in the case of open surgery, different kind of needles and sutures are available. In liver surgery, the Pringle manoeuvre represents a very effective procedure for temporary bleeding control, by occlusion of the hep-atoduodenal ligament. The Pringle manoeuvre can also be applied in laparoscopic surgery by placing a tourniquet around the hepato-duodenal ligament. During the occlusion, the bleeding vessel can be controlled by clips or other techniques.

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