Pringle maneuver or hemi-hepatic inflow occlusion?—the old debate in a new era of laparoscopic liver resection

Haili Zhang, Ningyuan Wen, Xiang Lan, Fei Liu, Yonggang Wei


We thank Dr. Lee et al. for their interest in our paper and read their letter with carefulness. We certainly agree with their critical comment that the safety profile of intermittent Pringle (IP) needs further validation. Hereon, we attempt to present the current experience in our center, as two hepatic inflow control strategies applied in surgery along with relative merits and future potential of the maneuver.