Modified conventional clamp-crushing technique in liver parenchymal transection

Hepatobiliary Pancreat Dis Int. 2012 Aug 15;11(4):442-5. doi: 10.1016/s1499-3872(12)60206-9.

Abstract

Significant intraoperative bleeding and injuries to vital structures in the liver remnant can occur during liver parenchymal transection using the conventional clamp-crushing technique. We performed liver resection on 242 patients using a mosquito clamp-crushing technique combined with a self-assembled saline-linked diathermy for liver parenchymal transection. The mean blood loss was 215 mL (range 20-1100). There was no damage to the vital structures in the liver remnant. The mean liver transection time was 53 minutes (range 15-125). Our technique has the advantages of reducing blood loss, exposing vessles clearly and being simple, cheap and efficacious.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Blood Loss, Surgical / prevention & control
  • Carcinoma, Hepatocellular / secondary
  • Carcinoma, Hepatocellular / surgery*
  • China
  • Constriction
  • Electrocoagulation* / adverse effects
  • Electrocoagulation* / instrumentation
  • Equipment Design
  • Female
  • Hepatectomy / adverse effects
  • Hepatectomy / instrumentation
  • Hepatectomy / methods*
  • Humans
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Treatment Outcome
  • Young Adult