Laparoscopic liver resection with “ultrasonic scalpel mimic CUSA" technique

Yang, Yubo; Peng, Yufu; Chen, Kefei; Yue, Wei; Li, Bo; Liu, Fei

doi:10.1007/s00464-022-09341-4

Cited by 9 publications

(3 citation statements)

References 28 publications

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“…Such instruments as the Habib sealer or ultrasonic scalpels can coagulate the tissue while cutting [ 184 , 185 ]. Studies in patients showed fewer postoperative complications and a reduction of blood loss as well as reduced liver manipulation and significant reduced warm ischemia time [ 186 , 187 , 188 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of iNOS in Hepatic Warm Ischaemia and Reperfusion Models in Mice and Rats: A Systematic Review and Meta-Analysis

Nakatake

Schulz

Kalvelage

et al. 2022

IJMS

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Warm ischaemia is usually induced by the Pringle manoeuver (PM) during hepatectomy. Currently, there is no widely accepted standard protocol to minimise ischaemia-related injury, so reducing ischaemia-reperfusion damage is an active area of research. This systematic review and meta-analysis focused on inducible nitric oxide synthase (iNOS) as an early inflammatory response to hepatic ischaemia reperfusion injury (HIRI) in mouse- and rat-liver models. A systematic search of studies was performed within three databases. Studies meeting the inclusion criteria were subjected to qualitative and quantitative synthesis of results. We performed a meta-analysis of studies grouped by different HIRI models and ischaemia times. Additionally, we investigated a possible correlation of endothelial nitric oxide synthase (eNOS) and nitric oxide (NO) regulation with iNOS expression. Of 124 included studies, 49 were eligible for the meta-analysis, revealing that iNOS was upregulated in almost all HIRIs. We were able to show an increase of iNOS regardless of ischemia or reperfusion time. Additionally, we found no direct associations of eNOS or NO with iNOS. A sex gap of primarily male experimental animals used was observed, leading to a higher risk of outcomes not being translatable to humans of all sexes.

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Section: Discussionmentioning

confidence: 99%

Effects of iNOS in Hepatic Warm Ischaemia and Reperfusion Models in Mice and Rats: A Systematic Review and Meta-Analysis

Nakatake

Schulz

Kalvelage

et al. 2022

IJMS

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“…It is a reusable bipolar forceps with incision and coagulation modes, and energy transfer is transmitted via two footswitches. The CUSA is also used for liver transection as previously reported 4 .…”

Section: Patientsmentioning

confidence: 99%

“…The absence of a gold standard technique is one of the reasons why many facilities that will introduce LLR in the future have difficulty deciding which techniques and devices to use. Various methods, such as the clamp-crush method, Cavitron Ultrasonic Surgical Aspirator Journal of Nippon Medical School J-STAGE Advance Publication (December 8, 2023) (CUSA) method 4,5 , and water jet method, are used during LLR worldwide. Among them, the clamp-crush method and the CUSA method are popular, and a randomized controlled trial comparing these two methods showed no difference in the operation time, bleeding volume, or perioperative complications [6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Safety and Feasibility of Laparoscopic Liver Resection with the Clamp-Crush Method Using the BiSect

Yoshioka,

Shimizu,

Ueda

et al. 2024

J Nippon Med Sch

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Background: Various energy devices are available for resection of the liver parenchyma during laparoscopic liver resection (LLR). We have historically performed liver resections using the Cavitron Ultrasonic Surgical Aspirator (CUSA). More recently, we have used new bipolar forceps (BiSect; Erbe Elektromedizin GmbH, Tübingen, Germany) to perform clamp-crush dissection with good results. The BiSect is a reusable bipolar forceps with a laparoscopic dissecting forceps tip and both an incision mode and coagulation mode. We evaluated the perioperative clinical course of patients who underwent LLR using the clamp-crush method with the BiSect compared with the CUSA.Methods: This single-center case control study involved patients with liver metastasis from colorectal cancer who underwent LLR using either the BiSect or CUSA at our hospital from January 2019 to December 2022. We performed the LLR using CUSA from January 2019 to early October 2020. After introduction of the Bisect in late October 2020, we used Bisect for the LLR.Before surgery, the three-dimensional liver was constructed based on computed tomography images, and a preoperative simulation was performed. We evaluated the results of LLR using the BiSect versus the CUSA and assessed the short-term results

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Main Instruments for Hepatic Transection and Minimally Invasive Pedicle Dissection

Burdio,

Jaume-Bottcher,

Sánchez-Velázquez

et al. 2023

Glissonean Pedicles Approach in Minimally Invasive Liver Surgery

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Laparoscopic liver resection with “ultrasonic scalpel mimic CUSA" technique

Cited by 9 publications

References 28 publications

Effects of iNOS in Hepatic Warm Ischaemia and Reperfusion Models in Mice and Rats: A Systematic Review and Meta-Analysis

Effects of iNOS in Hepatic Warm Ischaemia and Reperfusion Models in Mice and Rats: A Systematic Review and Meta-Analysis

Safety and Feasibility of Laparoscopic Liver Resection with the Clamp-Crush Method Using the BiSect

Main Instruments for Hepatic Transection and Minimally Invasive Pedicle Dissection

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