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Hepatic parenchymal transection using ultrasonic coagulating shears: a preliminary report

  • Surgeon at work
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Journal of Hepato-Biliary-Pancreatic Surgery

Abstract:

Ultrasonically activated coagulating shears (CS) can coagulate and divide blood vessels of up to medium size by a tissue-welding technique. We present an application of CS in hepatic parenchymal transection during liver surgery. Intrahepatic vessels are uncovered by the so-called forceps fracture method, and they are coagulated and divided by CS. Larger vessels are tied only on the preserving side before the application of CS. Although further refinement of the CS tip is needed, this method has the potential to significantly simplify and improve surgical procedures for hepatic parenchymal transection.

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Authors and Affiliations

  1. Department of Surgery, Cancer Institute Hospital, 1-37-1 Kami-Ikebukuro, Toshima-ku, Tokyo 170-8455, Japan, , , , , , JP

    Norihiro Kokudo, Hiroshi Kimura, Hirofumi Yamamoto, Makoto Seki, Hirotoshi Ohta, Toshiki Matsubara & Takashi Takahashi

Authors
  1. Norihiro Kokudo
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  2. Hiroshi Kimura
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  3. Hirofumi Yamamoto
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  4. Makoto Seki
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  5. Hirotoshi Ohta
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  6. Toshiki Matsubara
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  7. Takashi Takahashi
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Additional information

Received for publication on May 17, 1999; accepted on Dec. 25, 1999

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Kokudo, N., Kimura, H., Yamamoto, H. et al. Hepatic parenchymal transection using ultrasonic coagulating shears: a preliminary report. J Hep Bil Pancr Surg 7, 295–298 (2000). https://doi.org/10.1007/s005340070051

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  • DOI: https://doi.org/10.1007/s005340070051

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