From the Department of Surgery, Foothills Medical Center, University of Calgary, Calgary, Alta.
Can J Surg. 2022 Apr 8;65(2):E266-E268. doi: 10.1503/cjs.023220. Print 2022 Mar-Apr.
The Pringle manoeuvre (vascular inflow occlusion) has been a mainstay technique in trauma surgery and hepato-pancreato-biliary surgery since it was first described in the early 1900s. We sought to determine how frequently the manoeuvre is used today for both elective and emergent cases in these disciplines. To reflect on its evolution, we evaluated the Pringle manoeuvre over a recent 10-year period (2010-2020). We found it is used less frequently owing to more frequent nonoperative management and more advanced elective hepatic resection techniques. Continuing educational collaboration is critical to ensure continued insight into the impact of hepatic vascular inflow occlusion among trainees who observe this procedure less frequently.
自 20 世纪初首次描述以来，普林格尔手法（血流阻断）一直是创伤外科和肝胆胰外科学的主要技术。我们旨在确定该手法在这些学科中，无论是择期手术还是紧急手术，目前的使用频率。为了反映其演变，我们在最近的 10 年期间（2010-2020 年）评估了普林格尔手法。我们发现，由于更频繁的非手术治疗和更先进的择期肝切除术技术，该手法的使用频率较低。继续教育合作至关重要，以确保在观察该手术较少的受训者中，持续了解肝血流阻断的影响。
