Langenbeck's Archives of Surgery

, Volume 392, Issue 1, pp 41–44

Could bipolar vessel sealers prevent bile leaks after hepatectomy?

  • Serge Evrard
  • Yves Bécouarn
  • René Brunet
  • Marianne Fonck
  • Caroline Larrue
  • Simone Mathoulin-Pélissier
Original Article

DOI: 10.1007/s00423-006-0083-z

Cite this article as:
Evrard, S., Bécouarn, Y., Brunet, R. et al. Langenbecks Arch Surg (2007) 392: 41. doi:10.1007/s00423-006-0083-z

Abstract

Background and aims

The aim of this work was to test the feasibility of using a bipolar low thermal acting system inducing collagenic sealing but not protein coagulation to secure hepatic parenchyma cutting.

Materials and methods

Thirty consecutive hepatectomies were carried out using kellyclasy plus ligatures and clips (controls), while the following 50 hepatectomies used kellyclasy plus bipolar vessels sealer (BVS). Blood loss, duration of hepatic pedicle clamping, length of hospital stay, and complications were recorded.

Results

There was no statistically significant difference in blood loss and duration of clamping between controls and BVS. Specific complications (9/21 in the control group vs 1/49 for the BVS group, p<0.00045) and length of hospital stay (14 days in the control group vs 11 days in the BVS group, p<0.014) were statistically lower in BVS group than in the controls, mainly due to prevention of bile duct leakages.

Conclusions

Our data suggest that BVS may be particularly efficient to achieve bilistasis leading to the highest level of safety in performing hepatectomies. Further studies are now needed to confirm its superiority on the classical biliary ducts occlusion techniques.

Keywords

Liver Hepatectomy Postoperative complications Bile ducts Subphrenic abscess 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Serge Evrard
    • 1
  • Yves Bécouarn
    • 2
  • René Brunet
    • 2
  • Marianne Fonck
    • 2
  • Caroline Larrue
    • 3
  • Simone Mathoulin-Pélissier
    • 3
  1. 1.Digestive Oncology UnitInstitut Bergonié, Comprehensive Cancer Center, Bordeaux, and Victor Ségalen Bordeaux 2 UniversityBordeauxFrance
  2. 2.Digestive Oncology UnitInstitut Bergonié, Comprehensive Cancer Center, Bordeaux, and Victor Ségalen Bordeaux 2 UniversityBordeauxFrance
  3. 3.Department of BiostatisticsInstitut Bergonié,Comprehensive Cancer Centre, BordeauxBordeauxFrance