Takeshi Aoki, Masahiko Murakami, Tomotake Koizumi, Yuta Enami, Reiko Koike, Akira Fujimori, Tomokazu Kusano, Kazuhiro Matsuda, Kosuke Yamada, Koji Nogaki, Makoto Watanabe, Koji Otsuka, Haytham Gareer, Takashi Kato
This study describes a novel technique for skeletonization and isolation of Glissonean and venous branches during liver surgery using a harmonic scalpel (HS). Hepatic resections with HS were performed with the skeletonization and isolation technique in 50 patients (HS group). Variables evaluated were blood loss, operative time, biliary leak, and morbidity. The results were compared with 50 hepatic resections that were performed using a previously established technique: Cavitron ultrasonic surgical aspirator with electric cautery, ligatures, and hemoclips (NHS group)...
June 2015: International Surgery