食道癌手术后的腹腔镜肝切除术是一项技术上具有挑战性的手术，由于粘连性，很难控制肝脏入流[1. Ann Hepatobiliary Pancreat Surg. 22:344-349; 2. Dis Esophagus. 28:483-487; 3. Surg Endosc. 35:5375-5380; 4. Surg Laparosc Endosc Percutan Tech. 23:e103-105]。因此，我们引入了一种使用血管内夹的技术来控制肝脏入流。在确认肝胰十二指肠韧带与下腔静脉之间的空隙后，从肝胰十二指肠韧带的右侧引入血管内夹来控制肝脏入流。使用术中多普勒超声确认了对肝脏入流的控制，然后进行肝实质切除。视频展示了我们使用血管内夹控制肝脏入流的技术，以实施食道癌手术后安全的开放式或腹腔镜肝切除术。患者1是一名82岁女性，曾接受过食道神经内分泌肿瘤的腹腔镜辅助食道切除术。她接受了第3节段的开放解剖切除以切除一个38毫米的肝脏肿瘤。患者2是一名71岁男性，曾接受过食道癌的腹腔镜食道切除术。他接受了第6节段的腹腔镜部分切除以切除一个24毫米的肝脏肿瘤。手术时间分别为105分钟和123分钟，估计失血量分别为30克和10克。患者术后顺利，分别于术后第9天和第8天出院。使用血管内夹的右侧普林格操作在食道切除术后的开放式和腹腔镜肝切除术中可能是一种安全可行的技术。© 2023. Society of Surgical Oncology.

Laparoscopic hepatectomy after esophageal cancer surgery is a technically challenging procedure as it is difficult to control hepatic inflow due to adhesion 1. Ann Hepatobiliary Pancreat Surg. 22:344-349; 2. Dis Esophagus. 28:483-487; 3. Surg Endosc. 35:5375-5380; 4. Surg Laparosc Endosc Percutan Tech. 23:e103-105. Thus, we introduce our technique for hepatic inflow control using an endovascular clip.After the confirmation of space between the right and dorsal side of the hepatoduodenal ligament and the inferior vena cava, an endovascular clip was introduced laterally from the right side of the hepatoduodenal ligament to control hepatic inflow. The control of hepatic inflow was confirmed using intraoperative Doppler ultrasound and then a hepatic parenchymal transection was performed. The video demonstrates our technique using an endovascular clip for hepatic inflow control to perform safe open or laparoscopic hepatectomy after esophageal cancer surgery. Patient 1 was an 82-year-old woman with a history of laparoscopic assisted esophagectomy for esophageal neuroendocrine cancer. She underwent open anatomical resection of segment 3 for a 38-mm liver tumor. Patient 2 was a 71-year-old man with a history of laparoscopic esophagectomy for esophageal cancer. He underwent laparoscopic partial resection of segment 6 for a 24-mm liver tumor.The operation times were 105 and 123 min, and the estimated blood loss was 30 g and 10 g, respectively. The patients' postoperative courses were uneventful and the patients were discharged on postoperative days 9 and 8, respectively.Right-lateral Pringle maneuver using an endovascular clip may be a safe and feasible technique in both open and laparoscopic hepatectomy after esophagectomy.© 2023. Society of Surgical Oncology.