Usefulness of the combination procedure of crash clamping and vessel sealing for hepatic resection

Journal of Surgical Oncology
Atsushi NanashimaTakeshi Nagayasu

Abstract

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. To evaluate the efficacy of combination procedure of LigaSure and forceps clamping for control blood loss and transection time in hepatectomy. 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. 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). The combined use of LigaSure Precise and crush clamping technique is safe and allows rapid completion of hepatic resection.

References

May 30, 2001·American Journal of Surgery·P G Horgan
Aug 17, 2001·Archives of Surgery·T TakayamaK Hasegawa
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Ronnie T P Poon
Sep 6, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·A SaiuraT Yamaguchi
Sep 6, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Madhava PaiNagy A Habib
Jul 30, 2009·Annals of Surgery·Mami IkedaMasatoshi Makuuchi

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Citations

Oct 23, 2012·Surgery Today·Atsushi NanashimaTakeshi Nagayasu
Dec 6, 2012·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Fabrizio RomanoFranco Uggeri
Aug 25, 2015·World Journal of Surgery·Naoto GotohdaKazuaki Shimada
Aug 21, 2013·International Journal of Surgery·Atsushi NanashimaTakeshi Nagayasu
Jun 23, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D M ManasV Mazzaferro
Nov 1, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mohamed El ShobaryMohamed Elsadany
Mar 20, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Nicole L LevineDavid S Geller
Jun 16, 2021·Surgery Today·Atsushi NanashimaKunihide Nakamura

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