Abstract
The role of liver resection for benign and malignant hepatobiliary diseases is expanding, because of the markedly reduced operative mortality in recent years, as the result of better patient selection, improved surgical techniques and better perioperative management. The major technical challenge of liver resection is control of bleeding during transection of the parenchyma. Liver resection can be performed by different transection devices with or without inflow occlusion (Pringle manoeuvre). Only limited data is available on the best transection technique. The most popular devices facilitating bloodless transection include the ultrasonic dessicator (e.g: Cavitron Ultarsonic Surgical Aspirator (CUSA), Tyco Healthcare, Mansfield, MA), water jet dissector [1] (e.g: Hydro-jet, Erbe, Tubingen, Germany), harmonic scalpel, mono and bipolar cautery devices, and the dissecting sealer (e.g: Tissuelink, Dover, NH0) [2]. Parenchymal dissection has been performed under routine inflow occlusion with finger fracture technique (digitoclasy), where liver parenchyma is crushed between finger and thumb, isolating vessels and bile ducts, which then can be ligated and divided
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Healy, A., Tracey, J., Habib, N.A., Jiao, L.R. (2006). Liver Resection and Stapling Devices — Laparoscopic Resection. In: Karaliotas, C.C., Broelsch, C.E., Habib, N.A. (eds) Liver and Biliary Tract Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-49277-2_29
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DOI: https://doi.org/10.1007/978-3-211-49277-2_29
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-49275-8
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