Abstract
Background
Although laparoscopy is widely accepted for liver resection, lesions in the posterior and superior segments and deep region in the right lobe are difficult for visualization during laparoscopic liver resection (LLR). In this study, we aim examine the effects of using sterile gloves (SG) pouch padding during LLR.
Methods
Forty-two hepatocellular carcinoma (HCC) patients were included in our study. We performed LLR using SG (n = 24, SG group) and without SG during LLR (n = 18, NSG). We also compared the time of various procedures, blood loss, and liver function between the two groups.
Results
We did not observe any major complications or death in all patients. The time of liver parenchyma transection and portal triad clamping in SG group is significantly shorter than those in NSG group (30.29 ± 5.55 vs. 39.00 ± 3.68 min p < .001 for liver parenchyma transection, 23.00 ± 5.60 vs. 31.60 ± 5.03 min p < .001 for portal triad clamping). Blood loss in SG group (162.91 ± 90.91 ml) was significantly lower than in NSG group (236.66 ± 101.67 ml p = .024). The levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were increased one day after LLR, and decreased to normal level on day 7 after LLR in both groups.
Conclusions
Our data suggests that a sterile glove pouch could enhance exposure in surgical field, which results in decrease in blood loss and procedure time. More studies with large sample size, large tumor size, and longer follow-up are needed.
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Acknowledgments
We want to thank Liu Yanfeng, Du Gang, and Pang Yuguang for their great work in improving the design in hepatic operations. We are also thankful to Tang Zhenyu, Liu Zeyang, Li Jia, Zhang Shizhe, and Fu Zhihao for their collecting and interpreting data and other specific contributions.
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All authors declare no conflicts of interest.
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Jin Bin and Zhou Binghai have contributed equally to this work.
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Bin, J., Binghai, Z. & Sanyuan, H. Liver Exposure Using Sterile Glove Pouch During Laparoscopic Right Liver Surgery in Hepatocellular Carcinoma Patients. World J Surg 40, 946–950 (2016). https://doi.org/10.1007/s00268-015-3343-7
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DOI: https://doi.org/10.1007/s00268-015-3343-7