A falciform ligament flap surface sealing technique for laparoscopic and robotic-assisted liver surgery.

Scientific Reports
Mirhasan RahimliR Croner

Abstract

Whether sealing the hepatic resection surface after liver surgery decreases morbidity is still unclear. Nevertheless, various methods and materials are currently in use for this procedure. Here, we describe our experience with a simple technique using a mobilized falciform ligament flap in minimally invasive liver surgery (MILS). We retrospectively analyzed the charts from 46 patients who received minor MILS between 2011 and 2019 from the same surgical team in a university hospital setting in Germany. Twenty-four patients underwent laparoscopic liver resection, and 22 patients received robotic-assisted liver resection. Sixteen patients in the laparoscopic group and fourteen in the robotic group received a falciform ligament flap (FLF) to cover the resection surface after liver surgery. Our cohort was thus divided into two groups: laparoscopic and robotic patients with (MILS + FLF) and without an FLF (MILS-FLF). Twenty-eight patients (60.9%) in our cohort were male. The overall mean age was 56.8 years (SD 16.8). The mean operating time was 249 min in the MILS + FLF group vs. 235 min in the MILS-FLF group (p = 0.682). The mean blood loss was 301 ml in the MILS + FLF group vs. 318 ml in the MILS-FLF group (p = 0.859). Overall morb...Continue Reading

References

Jan 27, 2007·Journal of the American College of Surgeons·Yoshihiro SakamotoTomoo Kosuge
Jul 2, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Fenella K S WelshMyrddin Rees
May 2, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adrian E ParkErica Sutton
May 16, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kevin Ryan ParksEllen J Hagopian
Mar 20, 2015·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Raymond LairdSteve Zeddun
Jun 9, 2015·Frontiers in Surgery·Roland S CronerWerner Hohenberger
Jul 16, 2015·Updates in Surgery·Luca AldrighettiUNKNOWN Italian Group of Minimally Invasive Liver Surgery (I GO MILS)
Feb 3, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yolanda QuijanoRiccardo Caruso
May 22, 2016·Langenbeck's Archives of Surgery·Roland S CronerMaximillian Brunner
Sep 2, 2016·Journal of Hepato-biliary-pancreatic Sciences·Raffaele BrustiaOlivier Scatton
Dec 6, 2016·The Journal of Surgical Research·Carolijn L M A NotaJeroen Hagendoorn
Dec 20, 2017·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Túlio Felício da Cunha RodriguesSávio Lana Siqueira
Feb 27, 2018·Cirugía española·Marco Vito MarinoDomenico Guarrasi
May 11, 2018·Hepatobiliary Surgery and Nutrition·Laleh G MelstromYuman Fong
Sep 11, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·E BirginF Rückert
Nov 21, 2018·Annals of Surgical Oncology·Zachary E StilesPaxton V Dickson
Feb 2, 2019·Journal of Robotic Surgery·Iswanto SucandyAlexander Rosemurgy
Feb 6, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Fabio BaganteTimothy M Pawlik
Apr 18, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Asma SultanaRobert P Sutcliffe
May 24, 2019·International Journal of Surgery·Minggen HuRong Liu
May 30, 2019·Surgical Endoscopy·Margherita NotarnicolaRiccardo Memeo

❮ Previous
Next ❯

Software Mentioned

SPSS Statistics

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.