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Hepatic Parenchyma Transection Using Modern Instruments

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Operative Techniques in Liver Resection

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Abstract

The parenchymal transection is considered the critical step during hepatectomy owing to its vital impact on hemorrhage as well as the various postoperative complications [1]. Initially, excessive blood loss and the consequent operative visual field were the biggest problems with liver resection. With excessive bleeding during parenchymal transection, the development of hepatectomy was limited up to the twentieth century. With the increasing knowledge of the liver anatomy and surgical strategies, as well as the development of various transection instruments, hepatectomy has developed into the current standard procedure. Nowadays, hemorrhage is no longer the major concern after hepatectomy. A novel strategy, “precise hepatectomy,” originating from minimally invasive surgery, has been advocated to minimize insult on livers, maximally preserve remnant hepatic function, and as much as possible improve the outcome of hepatectomy.

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  1. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Key Lab of Combined Multi-Organ Transplantation, Ministry of Public Health, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China

    Xiao Xu MD, PhD

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  1. Department of Surgery, West China Hospital, Chengdu, China

    Lunan Yan

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Xu, X. (2016). Hepatic Parenchyma Transection Using Modern Instruments. In: Yan, L. (eds) Operative Techniques in Liver Resection. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7411-6_8

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