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Modified conventional clamp-crushing technique in liver parenchymal transection |
Feng Xia, Wan-Yee Lau, Kuan-Sheng Ma and Ping Bie |
Chongqing, China
Author Affiliations: Institute of Hepatobiliary Surgery, Southwest Hospital, Southwest Cancer Center, Third Military Medical University, Chongqing 400038, China (Xia F, Lau WY, Ma KS and Bie P); Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China (Lau WY)
Corresponding Author: Ping Bie, MD, PhD, Institute of Hepatobiliary Surgery, Southwest Hospital, Southwest Cancer Center, Third Military Medical University, Chongqing 400038, China (Tel: 86-23-68754168; Fax: 86-23-65317637; Email: bieping@medmail.com.cn) |
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Abstract 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 (range 20-1100). There was no damage to the vital structures in the liver remnant. The mean liver transection time was 53 minutes (range 15-125). Our technique has the advantages of reducing blood loss, exposing vessles clearly and being simple, cheap and efficacious.
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