New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms

New technique in hepatic parenchymal transection for living related liver donor and liver neoplasms.

BACKGROUND Many different surgical techniques have been described for hepatic parenchymal transection. A retrospective analysis of perioperative mortality, length of hospitalization and blood transfused during operation in two patient groups undergoing liver resection was carried out. In group A, we developed a new technique to resect hepatic parenchyma, using an ultrasonic surgical aspirator w...

Modified conventional clamp-crushing technique in liver parenchymal transection.

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 (ra...

Debakey Forceps Crushing Technique for Hepatic Parenchymal Transection in Liver Surgery: A Review of 100 Cases and Ergonomic Advantages

Introduction and Objective. Bleeding is an important complication in liver transections. To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data. Methods. We used Debakey crushing technique in 100 liver resections and analysed data for transection time, transfusion rate, morbidity, mor...

Choosing the optimal tools and techniques for parenchymal liver transection.

Clinical implication of hepatic volumetry for living donor liver transplantation

Liver transplantation is indicated for primary and salvage treatment of hepatic malignancies including hepatocellular carcinoma (HCC) and hepatic epithelioid hemangioendothelioma, end-stage liver diseases, acute liver failure, and congenital anatomical and metabolic liver diseases such as biliary atresia, Wilson’s disease and hemochromatosis. Living donor liver transplantation (LDLT) is more wi...