Ultrasonic-mediated laparoscopic liver transection

Luca Aldrighetti, Carlo Pulitanò, Marcella Arru, Marco Catena, Eleonora Guzzetti, Massimiliano Casati, Gianfranco Ferla

Research output: Contribution to journalArticlepeer-review

Abstract

Parenchymal liver transection represents a fundamental phase of liver surgery. Several devices have been described for safe and careful dissection of the liver parenchyma during laparoscopic liver surgery, but the ideal technique has not yet been defined. This report describes the combined use of ultrasonic dissector and the ultrasonic coagulating cutter for laparoscopic liver resection. The ultrasonic dissector is used to fracture the parenchyma along the line of proposed division, and the uncovered bridging structures are sealed using the ultrasonic coagulating cutter. The combined use of ultrasonic dissector and harmonic scalpel allows liver resection to be safely performed, with the advantage of minimal surgical complication and low blood losses.

Original languageEnglish
Pages (from-to)270-272
Number of pages3
JournalAmerican Journal of Surgery
Volume195
Issue number2
DOIs
Publication statusPublished - Feb 2008

Keywords

  • Laparoscopic liver resection
  • Liver surgery
  • Ultrasonic coagulating cutter
  • Ultrasonic dissector

ASJC Scopus subject areas

  • Surgery

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