Simplified hepatic resection utilizing absorbable polyglycolic acid-based tape and other ligature apparatus

Masanori Suzuki, Kenji Fukuhara, Michiaki Unno, Toshiki Rikiyama, Heigo Takeuchi, Tetsuyuki Uchiyama, Seiki Matsuno

研究成果: Article査読

5 被引用数 (Scopus)

抄録

Hepatic resection has been increasing in frequency in the management of metastatic or primary neoplasms of the liver. Although mortality for this procedure has steadily decreased, the associated morbidity remains high. Morbidity is mainly associated with operative time and blood loss, especially in jaundiced and cirrhotic patients. During hepatic resection, control of bleeding from various sources is the most important problem faced by surgeons. During conventional lobectomy, despite prior control of hepatic artery and portal vein to that lobe, bleeding still occurs from the opposite lobe or back flow from hepatic veins. We usually apply Pringle's maneuver for hemostasis, but consequently there is postoperative hepatic dysfunction. We have previously investigated methods for vascular occlusion at the site of liver resection. We developed a new absorbable polyglycolic acid-based tape (breadth, 3mm; length, 70cm) for use in hepatic mass ligation, as well as two types of ligature apparatus. Hemostasis was achieved with these devices, and all lobar, segmental, and non-anatomic resections were performed without prior control of the portal venous system, hepatic arterial inflow, and hepatic venous outflow before parenchymal resection. This significantly shortened the operative time, as well as decreasing the blood loss during hepatic resection, with consequent reduction of postoperative morbidity. The use of this absorbable tape may reduce the incidence of local infection, abscess formation, and septicemia.

本文言語English
ページ(範囲)292-296
ページ数5
ジャーナルJournal of Hepato-Biliary-Pancreatic Surgery
5
3
DOI
出版ステータスPublished - 1998

ASJC Scopus subject areas

  • 外科
  • 肝臓学

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