This study reveals a liver surface-guided method that significantly improves success rates for the Pringle maneuver in minimally invasive repeat liver resections.

• Pringle taping success jumped from 33% to 91.4% with the new technique.
• Median operative time was 331.5 minutes with only 70 ml blood loss and a short 8-day hospital stay.

This approach is especially beneficial for patients with prior open liver resections, enhancing surgical safety.

• Complications (Clavien-Dindo grade ≥ III) were low at 5.6%, with no mortality reported.