Editor's Note |

Is Any Method of Vascular Control Superior in Hepatic Resection of Metastatic Cancers? Longmire Clamping, Pringle Maneuver, and Total Vascular Isolation—Editor's Note

Claude H. Organ Jr, MD
Arch Surg. 2001;136(5):574. doi:10.1001/archsurg.136.5.574.
Text Size: A A A
Published online


The Pringle maneuver was initially developed and used by J. Hogarth Pringle, FRCS, from the Glasgow Royal Infirmary.1 Following a series of unsuccessful operations on the liver, Pringle turned to the laboratory in search of a solution to control hepatic bleeding. He used rabbits as had his predecessor Ponfick. Four of these animals were anesthetized with chloroform, the abdomen was opened, and the portal vessels clamped with a narrow forceps. During this period, the surface of 1 lobe of the liver was freely cut into at several places but no bleeding followed, and at the termination of 1 hour this lobe was removed. There were no significant changes in the small bowel. In all 4 rabbits the hemorrhage was completely controlled; the animals recovered from the operation and developed no abnormal symptoms. The rabbits were killed on the third or fourth day, temporary obstruction of the portal circulation did not appear to have injured the animals, and the experiments were discontinued. Pringle then applied the technique in 2 clinical cases; the technique provided perfect control of the bleeding areas of the liver and a clear field for operating.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...