Question 163 · LEK · Organ injuries
During the surgery of the metastatic tumor of the liver, the surgeon performed, as he explained to the students, the Pringle maneuver. It consists in:
- A. temporal pressure of the inferior vena cava.
- B. introducing Kehr's drain into the right hepatic duct.
- C. breaking with the fingers the liver parenchyma to visualize the blood vessels and bile ducts, which facilitates their ligation.
- D. cutting off all the ligaments fixing the liver to ensure a free access to the rear hepatic segments.
- E. temporal clamping of the hepatic duodenal ligament to limit the inflow of blood to the liver.
Hint
The maneuver controls blood inflow to the liver by compressing the structures in the free edge of the lesser omentum.
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