A new technique for liver retraction during robotic surgery minimizes trauma and enhances surgical precision.

• Implemented in 26 robotic hepatectomies, the Clip-Pulley Maneuver (CPM) proved to be complication-free.
• No major events (Clavien-Dindo grade III or higher) were reported, and the diaphragm remained intact in all cases.

This method allows real-time adjustments for optimal retraction without additional peritoneal punctures.

• Typically, two clips sufficed for most procedures, with additional clips available for larger resections.