Laparoscopic hepatectomy: Pringle maneuver versus tourniquet method        ZHANG Deng-ming, ZHEN Zuo-jun, CHEN Huan-wei, et al. Department of Hepatobiliary Surgery, the First People's Hospital of Foshan City, Foshan 528000, China
Corresponding author：ZHEN Zuo-jun，E-mail：zzjun@fsyyy.com
Abstract    Objective    To evaluate the feasibility of tourniquet method in laparoscopic hepatectomy compared with Pringle maneuver. Methods    Sixty-two patients performed laparoscopic hepatectomy between January 2003 and January 2011 in the Department of General Surgery, the First People’s Hospital of Foshan City were divided into Pringle group (30 patients) and tourniquet group (32 patients) randomly. The changes of preoperative and postoperative liver function, intraoperative blood loss, complications, operation time and hospital stay between the two groups were compared. Results    No significant difference was found in operative blood loss, perioperative complications, the TBIL and ALB before operation and on the first, third and seventh day after operation between two groups (P>0.05). There was significant difference in ALT and AST before operation and on the first, third and seventh day after operation between two groups (P＜0.05). Patients in tourniquet group had significantly faster recovery of liver function than those in Pringle group (P＜0.05). The postoperative hospital stay of tourniquet group was significantly shorter than that of Pringle group (P＜0.05). Conclusion    Tourniquet method can limit operative blood loss effectively with quicker recovery and shorter hospital stay, which is safe, efficient and feasible for patients performed laparoscopic hepatectomy.