Easier hepatic resections with a straight needle - 03/09/11
, Naofumi Nagasue, M.D., Ph.D. b, Xi-Zhang Lin, M.D. c, Chu-San Chen, M.M.E. dAbstract |
Background: A stainless-sheathed, straight needle with a hook near the top of the inner needle was designed to facilitate hepatic resections.
Methods: First, using this needle, two rows of interlocking mattress sutures were made along the division line; then, hepatic transection was performed between these rows by electrocautery or forceps.
Results: Since 1997, we have performed this kind of hepatic resections in 43 cases, including 9 right lobectomies, 5 bisegmentectomies, 7 segmentectomies, 4 subsegmentectomies, 2 partial hepatectomies, 15 left lateral segmentectomies, and 1 hepatorrhaphy. In most cases, intraoperative hemorrhage was minimal. Neither specified inflow nor backflow control procedures were needed.
Conclusion: Use of this needle may reduce the difficulty of the technique and blood loss for right hepatic lobectomy, left lateral segmentectomy, and some segmental or partial hepatectomy procedures.
Le texte complet de cet article est disponible en PDF.Keywords : Hepatic resection, Chang’s needle, Hepatma, Pringle’s maneuver
Plan
Vol 182 - N° 3
P. 260-264 - septembre 2001 Retour au numéro
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