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Usefulness of the combination procedure of crash clamping and vessel sealing for hepatic resection
Author(s) -
Nanashima Atsushi,
Tobinaga Syuuichi,
Abo Takafumi,
aka Takashi,
Sawai Terumitsu,
Nagayasu Takeshi
Publication year - 2010
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21575
Subject(s) - medicine , hemostasis , blood loss , hepatectomy , surgery , clamping , clamp , forceps , enucleation , resection , anesthesia , mechanical engineering , engineering
Background Minimization of blood loss during resection of the hepatic parenchyma in hepatectomy remains a major problem. The usefulness of the LigaSure sealing system has been reported. Objectives To evaluate the efficacy of combination procedure of LigaSure and forceps clamping for control blood loss and transection time in hepatectomy. Methods Here, we report our experience with the combination technique of LigaSure Precise™, a clamp forceps type, and crush clamping method for hepatic transection in 33 patients who underwent hepatectomy. Results The combination technique allows fast and bloodless transection even along the major intrahepatic vessels. Blood loss and transection time were significantly reduced in the group of LigaSure use ( P < 0.05). Efficient hemostasis could be achieved also in patients with extensive liver injury such as cirrhosis. The rates of postoperative intraabdominal abscess formation in the combination technique of LigaSure and crush clamping were lower compared with the conventional crush clamping method ( P < 0.05). Conclusions The combined use of LigaSure Precise™ and crush clamping technique is safe and allows rapid completion of hepatic resection. J. Surg. Oncol. 2010;102:179–183. © 2010 Wiley‐Liss, Inc.