Abstract
Despite emerging technologies, parenchymal transection still remains challenging in liver resection. The aim of this study is to assess the safety and efficacy of a new articulating vessel sealer for laparoscopic hepatectomy. Our hypothesis was that this new device would facilitate parenchymal transection and reduce intraoperative costs in laparoscopic hepatectomy. Within 18 months, a 5 cm bipolar articulating vessel sealer was used in 32 laparoscopic liver resections (LLR). By excluding 4 patients who underwent concomitant colorectal resections, the outcomes of the remaining 28 patients (group 1) were compared with 28 patients who underwent LLR by the same surgical group using other energy devices (group 2). Tumor type was malignant in 71% of patients (n=20) in group 1 and 89% of the patients (n=25) in group 2 (P=0.360). The number and size of tumors were similar in both groups, as well as the type of resections performed. In group 1, there was a less number of adjunctive devices (ie, energy, clip appliers, staplers) used (median 2) compared with group 2 (median 3, P=0.032). Parenchymal transection time (mean±SEM 28.2±3.5 vs. 55.2±4.1 min, respectively, P<0.001) and total operative time (200.1±13.7 vs. 242.7±14.4 min, respecti...Continue Reading
References
Dec 1, 1988·Annals of Surgery·K R StephensonA E Chang
Sep 1, 1970·Cancer·J H Foster
Jan 1, 1994·Annals of Surgery·J V Sitzmann, P S Greene
Dec 1, 1993·The British Journal of Surgery·R R PostemaO T Terpstra
Mar 21, 1998·The British Journal of Surgery·M ShimadaK Sugimachi
Nov 27, 2002·Journal of Surgical Oncology·Chun-Nan YehLong-Bin Jeng
May 25, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Salleh IbrahimYu-Fan Cheng
Jun 1, 2006·The British Journal of Surgery·J D W van der BiltI H M Borel Rinkes
Sep 6, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·A J Koffron, J A Stein
Sep 6, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·H KanekoK Yamazaki
Dec 26, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Walid M El MoghazyYasutsugu Takada
Jan 1, 2009·Surgical Endoscopy·Michael TsinbergEren Berber
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Ponnandai SomasundarN Joseph Espat
Jul 18, 2009·Surgical Endoscopy·Mohammad Abu HilalNeil W Pearce
Jul 30, 2009·Annals of Surgery·William C Chapman
Jul 30, 2009·Annals of Surgery·Mami IkedaMasatoshi Makuuchi
Apr 9, 2011·Annals of Surgery·Sheung Tat FanSee Ching Chan
Jun 28, 2011·Annals of Surgical Oncology·Madhava PaiDaniel Cherqui
May 2, 2012·World Journal of Surgery·Naoto GotohdaTaira Kinoshita
Dec 22, 2012·Surgery·Yoo-Seok YoonYujin Kwon
Mar 6, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Joseph F BuellIbrahim Dagher
Apr 30, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Dimitris ZacharoulisNagy Habib
Aug 21, 2013·International Journal of Surgery·Atsushi NanashimaTakeshi Nagayasu
Nov 16, 2013·Surgical Endoscopy·Eren BerberEren Taskin
Jan 10, 2014·The British Journal of Surgery·N N RahbariJ Weitz
Apr 1, 2014·Journal of the American College of Surgeons·Rachel L MedberyJuan M Sarmiento
Citations
Aug 4, 2016·Surgery·Georgios KaragkounisEren Berber
Nov 11, 2017·Surgical Endoscopy·Fei LiuBo Li
Jun 18, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Seong-Ho KongHan-Kwang Yang
Oct 14, 2017·Asian Journal of Endoscopic Surgery·Amr BadawyShinji Uemoto
Oct 25, 2017·Annals of Surgery·Mohammad Abu HilalDaniel Cherqui
May 28, 2019·Surgery Today·Akihiro KondoMasaaki Ito
Jun 6, 2021·Updates in Surgery·Aldo RoccaLuca Aldrighetti