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. 2020 Aug;8(15):940. doi: 10.21037/atm-20-4674

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2020 Annals of Translational Medicine. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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A modified method for laparoscopic Pringle maneuver. Laparoscopic encircling of the hepatoduodenal ligament is carried out using a urinary catheter (approximately 10 cm in length, A), which is then clamped with a hem-o-lok clip to prevent loosening (B). For total inflow control, the catheter is pulled up alternatively using two dissecting forceps for several times and then clamped with another hem-o-lok clip close to the hepatoduodenal ligament to tighten it up (C). To relieve occlusion, the second hem-o-lok clip (close to the hepatoduodenal ligament) is transected by an ultrasound scalpel (D).