Easier hepatic resections with a straight needle |
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Authors: | Chang Y C Nagasue N Lin X Z Chen C S |
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Affiliation: | Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138 Sheng Li Rd., 70428, Tainan, Taiwan. changyc@mail.ncku.edu.tw |
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Abstract: | 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. |
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