TY - JOUR
T1 - Use of a bipolar vessel-sealing device for parenchymal transection during liver surgery
AU - Strasberg, Steven M.
AU - Drebin, Jeffrey A.
AU - Linehan, David
PY - 2002
Y1 - 2002
N2 - Most blood loss during liver resection occurs during parenchymal transection, and multiple approaches have been developed to limit blood loss. The purpose of this study was to evaluate a new bipolar vessel-sealing device in hepatic surgery, particularly whether the device would permit safe transection without routine inflow occlusion. Twenty-seven hepatic procedures were performed using the device after preliminary studies to adapt its use to the liver. Inflow occlusion was used when necessary to control blood loss but not as a routine. The device worked well for transection through normal liver during common liver operations such as right hepatectomy. It worked less well for enucleations. Inflow occlusion was used in approximately 10% of resections, exclusive of enucleations, and about 25% of these patients were transfused during surgery or in the postoperative period. We conclude that the device is a useful tool in standard liver resections.
AB - Most blood loss during liver resection occurs during parenchymal transection, and multiple approaches have been developed to limit blood loss. The purpose of this study was to evaluate a new bipolar vessel-sealing device in hepatic surgery, particularly whether the device would permit safe transection without routine inflow occlusion. Twenty-seven hepatic procedures were performed using the device after preliminary studies to adapt its use to the liver. Inflow occlusion was used when necessary to control blood loss but not as a routine. The device worked well for transection through normal liver during common liver operations such as right hepatectomy. It worked less well for enucleations. Inflow occlusion was used in approximately 10% of resections, exclusive of enucleations, and about 25% of these patients were transfused during surgery or in the postoperative period. We conclude that the device is a useful tool in standard liver resections.
KW - Bipolar cautery
KW - Liver resection
KW - Liver tumor
UR - http://www.scopus.com/inward/record.url?scp=1042286001&partnerID=8YFLogxK
U2 - 10.1016/S1091-255X(02)00030-6
DO - 10.1016/S1091-255X(02)00030-6
M3 - Article
C2 - 12127123
AN - SCOPUS:1042286001
VL - 6
SP - 569
EP - 574
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
SN - 1091-255X
IS - 4
ER -