Abstract
Over the past decades, liver surgery has gained wide acceptance as a main therapeutic option for patients with both benign and malignant lesions. The introduction of new technological devices has gained popularity among liver surgeons with the aim of improving safety of resection and reducing procedure-related complications such as bile leakage, hematoma, and infections. In this chapter, we review the usefulness of the ultrasonic activated device (USAD) for dissection of liver parenchyma during open liver resection. In open surgery, this device can be used for blunt preparation, cutting, and coagulation, which are achieved by local thermal denaturation resulting from longitudinal vibration of the blade. Both thermal spreading and conduction have been shown to be significantly lower when compared with electrocoagulation and laser. Though there is a lack of data based on well-conducted controlled studies and further studies on a greater number of patients are needed, according to our experience, utilization of USAD may help to minimize blood loss during liver resection regardless of the condition of the liver, even in case of cirrhosis.
| Original language | English |
|---|---|
| Title of host publication | Open, Laparoscopic and Robotic Hepatic Transection: Tools and Methods |
| Publisher | Springer-Verlag Italia s.r.l. |
| Pages | 43-48 |
| Number of pages | 6 |
| ISBN (Print) | 9788847026223, 9788847026216 |
| DOIs | |
| Publication status | Published - Jan 1 2012 |
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Keywords
- Intraoperative Blood Loss
- Open Liver Surgery
- Parenchymal Division
- Technological Devices
- Ultrasonic Activated Device
ASJC Scopus subject areas
- Medicine(all)
Cite this
Ultrasonically activated device for parenchymal division during open liver resection. / Limongelli, Paolo; Belli, Andrea; Cioffi, Luigi; Russo, Gianluca; D’Agostino, Alberto; Fantini, Corrado; Belli, Giulio.
Open, Laparoscopic and Robotic Hepatic Transection: Tools and Methods. Springer-Verlag Italia s.r.l., 2012. p. 43-48.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Ultrasonically activated device for parenchymal division during open liver resection
AU - Limongelli, Paolo
AU - Belli, Andrea
AU - Cioffi, Luigi
AU - Russo, Gianluca
AU - D’Agostino, Alberto
AU - Fantini, Corrado
AU - Belli, Giulio
PY - 2012/1/1
Y1 - 2012/1/1
N2 - Over the past decades, liver surgery has gained wide acceptance as a main therapeutic option for patients with both benign and malignant lesions. The introduction of new technological devices has gained popularity among liver surgeons with the aim of improving safety of resection and reducing procedure-related complications such as bile leakage, hematoma, and infections. In this chapter, we review the usefulness of the ultrasonic activated device (USAD) for dissection of liver parenchyma during open liver resection. In open surgery, this device can be used for blunt preparation, cutting, and coagulation, which are achieved by local thermal denaturation resulting from longitudinal vibration of the blade. Both thermal spreading and conduction have been shown to be significantly lower when compared with electrocoagulation and laser. Though there is a lack of data based on well-conducted controlled studies and further studies on a greater number of patients are needed, according to our experience, utilization of USAD may help to minimize blood loss during liver resection regardless of the condition of the liver, even in case of cirrhosis.
AB - Over the past decades, liver surgery has gained wide acceptance as a main therapeutic option for patients with both benign and malignant lesions. The introduction of new technological devices has gained popularity among liver surgeons with the aim of improving safety of resection and reducing procedure-related complications such as bile leakage, hematoma, and infections. In this chapter, we review the usefulness of the ultrasonic activated device (USAD) for dissection of liver parenchyma during open liver resection. In open surgery, this device can be used for blunt preparation, cutting, and coagulation, which are achieved by local thermal denaturation resulting from longitudinal vibration of the blade. Both thermal spreading and conduction have been shown to be significantly lower when compared with electrocoagulation and laser. Though there is a lack of data based on well-conducted controlled studies and further studies on a greater number of patients are needed, according to our experience, utilization of USAD may help to minimize blood loss during liver resection regardless of the condition of the liver, even in case of cirrhosis.
KW - Intraoperative Blood Loss
KW - Open Liver Surgery
KW - Parenchymal Division
KW - Technological Devices
KW - Ultrasonic Activated Device
UR - http://www.scopus.com/inward/record.url?scp=84957105064&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84957105064&partnerID=8YFLogxK
U2 - 10.1007/978-88-470-2622-3_6
DO - 10.1007/978-88-470-2622-3_6
M3 - Chapter
AN - SCOPUS:84957105064
SN - 9788847026223
SN - 9788847026216
SP - 43
EP - 48
BT - Open, Laparoscopic and Robotic Hepatic Transection: Tools and Methods
PB - Springer-Verlag Italia s.r.l.
ER -