A comparison of different techniques for liver resection: blunt dissection, ultrasonic aspirator and jet-cutter

Rau, H. G.; Schardey, H. M.; Buttler, E.; Reuter, Christoph; Cohnert, Tina; Schildberg, F. W.

doi:10.1016/s0748-7983(95)90435-2

Cited by 58 publications

(46 citation statements)

References 8 publications

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“…To perform kidney dissection safely it is necessary to isolate the intrarenal structures without injury of the blood vessels. The ultrasound aspirator (CUSA) for example is able to destroy parenchymal tissue leaving structures like vessels or biliary ducts intact [1]. However, reduction of blood loss by use of the ultrasound aspirator is still far from satisfactory.…”

Section: Discussionmentioning

confidence: 99%

“…Only sporadic cases have been reported on the use of water jet technology, for example, in kidney surgery [5]. In comparison to other surgical techniques, such as blunt dissection or the ultrasonic aspirator, it was shown to provide significant advantages concerning resection time and blood loss [1, 7, 8]. The small size of the handpiece and its light certainly guarantees simple use without any particular training.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of Water Jet Resection in Renal Surgery: Early Clinical Experiences

Basting¹,

Corvin²,

Antwerpen³

et al. 2000

European Urology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of Water Jet Resection in Renal Surgery: Early Clinical Experiences

Basting¹,

Corvin²,

Antwerpen³

et al. 2000

European Urology

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“…In a pilot study involving 15 patients with cirrhosis who had hepatic inflow occlusion (Pringle maneuver) for 9-32 minutes during hepatic resection, a significant decrease in blood loss was achieved compared to a similar group of 15 patients operated on without the use of blood flow occlusion. In addition, no hemodynamic complications resulted and no changes were seen in liver function studies, followed for up to 3 weeks post op in the blood flow occluded group [36] [38,39].…”

Section: Possible Interventionsmentioning

confidence: 91%

Review: Research Toward Safer Resectionof the Cirrhotic Liver

Moser

Kneteman

2000

HPB Surgery

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Despite recent advances in hepatic surgery, resection of the cirrhotic liver continues to be fraught with high morbidity and mortality rates. As a result, for many patients requiring resection of HCC the postoperative course is complicated and the probability of cure is diminished by coexisting cirrhosis. In this review, we discuss the characteristics of the cirrhotic liver which make it poorly tolerant of resection and the most common complications that follow such surgery. The main purpose of this paper is to review recent attempts to identify interventions that might be beneficial to cirrhotic patients undergoing resection. These interventions include assessment of liver reserve, advances in surgical technique, and improvement in liver function and regeneration.

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“…As regards the control of hemostasis in laparoscopic hepatic resections, an extensive debate exists today in the Literature (7)(8)(9). It must be said that in the opinion of many surgeons, including us, the choice of topical hemostatic devices is conditioned by the intraoperative bleeding.…”

Section: @ C I C E D I Z I O N I I N T E R N a Z I O N A L Imentioning

confidence: 99%