Hepatectomy with superselective blockade of blood flow into the liver

Currently, the Pringle’s method is used to block all blood flow to the liver at the hepatoduodenal ligament during hepatectomy. The disadvantage of this method is that the non-tumor-bearing liver also suffers from ischemia-reperfusion injury. The superselective block can be avoided, and the block time can be extended appropriately to make the hepatic dissection process more delicate, with less bleeding, and the tumor can be resected with ease and with less postoperative liver damage. The authors now routinely perform hepatic resection mainly by regional superselective block and achieve better results. The following are pictures of the operator’s recent surgical procedure.