Liver parenchymal transection techniques
While liver surgery has become safer with improvements in peri-operative management, parenchymal resection is the part of the procedure which is associated with major loss of blood and damage to important structures if not performed carefully. The ideal technique for hepatic parenchymal transection...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Khesar Gyalpo University of Medical Sciences of Bh
2016-05-01
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| Series: | Bhutan Health Journal |
| Online Access: | https://bhj.com.bt/index.php/bhj/article/view/20 |
| _version_ | 1797650108581412864 |
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| author | Vivek Mangla Shailendra Lalwani Siddharth Mehrotra Naimish Mehta Samiran Nundy |
| author_facet | Vivek Mangla Shailendra Lalwani Siddharth Mehrotra Naimish Mehta Samiran Nundy |
| author_sort | Vivek Mangla |
| collection | DOAJ |
| description | While liver surgery has become safer with improvements in peri-operative management, parenchymal resection is the part of the procedure which is associated with major loss of blood and damage to important structures if not performed carefully. The ideal technique for hepatic parenchymal transection should be quick, easy to perform, reduce intra-operative blood loss and transfusion requirement, reduce post-operative bile leakage, and cause minimal damage to the surrounding hepatic parenchyma-- preferably at the lowest cost possible. This paper is a review of commonly used techniques for liver parenchymal transection during liver resections. According to the literature, there is little benefit of using the complicated and expensive devices over the simpler clamp crushing technique. We in our institution, who perform a large number of liver resections and living donor transplants, prefer to use the clamp crushing technique with a bipolar cautery for most resections and cavitron ultrasonic aspirator(CUSA) with a bipolar cautery for removal of part of the liver from a living donor. |
| first_indexed | 2024-03-11T15:55:33Z |
| format | Article |
| id | doaj.art-0e9f92084f9a48159067d126bec1e174 |
| institution | Directory Open Access Journal |
| issn | 2413-2993 2415-1114 |
| language | English |
| last_indexed | 2024-03-11T15:55:33Z |
| publishDate | 2016-05-01 |
| publisher | Khesar Gyalpo University of Medical Sciences of Bh |
| record_format | Article |
| series | Bhutan Health Journal |
| spelling | doaj.art-0e9f92084f9a48159067d126bec1e1742023-10-25T10:27:40ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142016-05-0121232710.47811/bhj.1920Liver parenchymal transection techniquesVivek Mangla0Shailendra Lalwani1Siddharth Mehrotra2Naimish Mehta3Samiran Nundy4Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi, India.Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi, India.Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi, India.Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi, India.Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi, India.While liver surgery has become safer with improvements in peri-operative management, parenchymal resection is the part of the procedure which is associated with major loss of blood and damage to important structures if not performed carefully. The ideal technique for hepatic parenchymal transection should be quick, easy to perform, reduce intra-operative blood loss and transfusion requirement, reduce post-operative bile leakage, and cause minimal damage to the surrounding hepatic parenchyma-- preferably at the lowest cost possible. This paper is a review of commonly used techniques for liver parenchymal transection during liver resections. According to the literature, there is little benefit of using the complicated and expensive devices over the simpler clamp crushing technique. We in our institution, who perform a large number of liver resections and living donor transplants, prefer to use the clamp crushing technique with a bipolar cautery for most resections and cavitron ultrasonic aspirator(CUSA) with a bipolar cautery for removal of part of the liver from a living donor.https://bhj.com.bt/index.php/bhj/article/view/20 |
| spellingShingle | Vivek Mangla Shailendra Lalwani Siddharth Mehrotra Naimish Mehta Samiran Nundy Liver parenchymal transection techniques Bhutan Health Journal |
| title | Liver parenchymal transection techniques |
| title_full | Liver parenchymal transection techniques |
| title_fullStr | Liver parenchymal transection techniques |
| title_full_unstemmed | Liver parenchymal transection techniques |
| title_short | Liver parenchymal transection techniques |
| title_sort | liver parenchymal transection techniques |
| url | https://bhj.com.bt/index.php/bhj/article/view/20 |
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