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The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy

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Abstract

Objective

In this paper, a single-hand-operated hepatic pedicle clamp was introduced, and its application value in laparoscopic liver tumor resection was preliminarily discussed.

Methods

The clinical data of 67 patients who underwent laparoscopic liver tumor resection at the First Affiliated Hospital of Wannan Medical College from March 2019 to October 2023 were retrospectively analyzed. The Pringle maneuver was performed with a hepatic pedicle clamp during the operation. The preoperative, intraoperative and postoperative clinical data were observed and recorded.

Results

Sixty-seven patients had a median block number, block time, intraoperative blood loss, and postoperative length of hospital stay of 4, 55 min, 400 ml, and 7 days, respectively. The average operation time was 304.9±118.4 min, the time required for each block was 3.2±2.4 s, and the time required for each removed block was 2.6±0.7 s. None of the patients developed portal vein thrombosis or hepatic artery aneurysm formation.

Conclusion

The hepatic pedicle clamping clamp is simple to use in laparoscopic hepatectomy, optimizes the operation process, and has a reliable blocking effect. It is recommended for clinical application.

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Acknowledgements

This thesis would not have been possible without the consistent and valuable reference materials that I received from XW whose insightful guidance and enthusiastic encouragement in the course of my shaping this thesis definitely gain my deepest gratitude.

Funding

This study was supported by the 2022 Provincial Key Clinical Specialty Construction Funds (Award Number: KZSJZ010 Recipient: Xiaoming Wang), and the 2023 Natural Science Research Project of Anhui Province Universities (Award Number: 2023AH040254 Recipient: Xiaoming Wang).

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Author notes

  1. Zhengchao Shen and Bin Jiang contributed equally to this work.

Authors and Affiliations

  1. Department of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, 241000, P.R. China

    Zhengchao Shen, Bin Jiang, Hongpeng Chu, Guannan Wang, Xiaosan Fang, Zhiyuan Chen, Yuntao Yang, Jie Wang & Xiaoming Wang

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  1. Zhengchao Shen
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  2. Bin Jiang
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Contributions

Study conception and design: XW, ZS, GW. Acquisition of data: ZC, YY, JW. Analysis and interpretation of data: HC, XF. Drafting of manuscript: ZS, BJ. Critical revision of manuscript: XW.

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Correspondence to Xiaoming Wang.

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Shen, Z., Jiang, B., Chu, H. et al. The application of a single-hand-operated hepatic pedicle clamping clamp in laparoscopic hepatectomy. Langenbecks Arch Surg 409, 146 (2024). https://doi.org/10.1007/s00423-024-03334-8

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