Laparoscopic Hepatic Transection Using Ultrasonic Scalpel and Bipolar Forceps

  • Noah B. Zuker
  • Brice GayetEmail author


The laparoscopic approach to complex disorders of the liver may be extremely useful for enhancing visualization and dissection. As technological advancements lead to more effective tools for laparoscopy, safe and rapid division of liver parenchyma using various techniques has become routine. Ultrasonic dissection is an invaluable tool for dissection and sealing of small to medium-sized vessels during open and laparoscopic procedures. Coupling this rapid modality of cutting tissue with a clamp that is both agile and elegant in the application of electrocautery and retraction leads to efficient and hemostatic procedures.


Bile Leak Parenchymal Transection Ultrasonic Scalpel Bipolar Forceps Bipolar Cautery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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  1. 1.
    Gumbs AA, Gayet B, Gagner M (2008) Laparoscopic liver resection: when to use the laparoscopic stapler device. HPB 10:296–303PubMedCentralPubMedCrossRefGoogle Scholar
  2. 2.
    Harold KL, Pollinger H, Mathews BD, Kercher KW, Sing RF, Heniford BT (2003) Comparison of ultrasonicultrasonic energy bipolar thermal energy, and vascular clips for the hemostasis of small-, medium-, and large-sized arteries. Surg Endosc 17:1228–1230PubMedCrossRefGoogle Scholar
  3. 3.
    Hanna SS, Nam R, Leonhardt C (1996) Liver resection by ultrasonic dissection and intraoperative ultrasonography. HPB Surg 9:121–128PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Gayet B, Cavaliere D, Vibert E, Perniceni T, Levard H, Denet C, Christidis C, Blain A, Mal F (2007) Totally laparoscopic right hepatectomy. Am J Surg 194:685–689PubMedCrossRefGoogle Scholar
  5. 5.
    Gumbs AA, Bar-Zakai B, Gayet B (2008) Totally laparoscopic extended left hepatectomy. J Gastrointest Surg 12:1152PubMedCrossRefGoogle Scholar
  6. 6.
    Ishizawa T, Tamura S, Masuda K, Aoki T, Hasegawa K, Imamura H, Beck Y, Kokudo N (2009) Intraoperative fluorescent cholangiography using indocyanine green: a biliary road map for safe surgery. JACS 208:e1–e4Google Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  1. 1.Département de Pathologie DigestiveL’Institut Mutualiste MonsourisParisFrance

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