A convenient and self-adjustable laparoscopic intracorporeal pringle maneuver using He’s belt

This study introduces an intracorporeal Pringle maneuver (PM) using He’s belt for laparoscopic hepatectomy. He’s belt, a silicone belt featuring a hole in the tail and eight cogs in the body, was placed in the abdominal cavity. The head and body of He’s belt were pulled out through the tail hole to form a ring encircling the hepatoduodenal ligament. We conducted laparoscopic hepatectomy with PM maneuver by He’s belt for 47 patients between January 2024 and June 2024. The PM maneuver using He’s belt can be easily performed, adjusted, and released without requiring additional Hemoclips. For the 47 patients, the median operative time was 121 min. The median Pringle time was 21 min. The median blood loss was 50 ml. None of the patients required intraoperative blood transfusion. The PM maneuver using He’s belt is a safe, convenient, and self-adjustable method that provides effective inflow control for laparoscopic hepatectomy.