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.
| Original language | English |
|---|---|
| Pages (from-to) | 260-264 |
| Number of pages | 5 |
| Journal | American Journal of Surgery |
| Volume | 182 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2001 Oct 11 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Easier hepatic resections with a straight needle. / Chang, Yu Chung; Nagasue, Naofumi; Lin, Xi-Zhang; Chen, Chu San.
In: American Journal of Surgery, Vol. 182, No. 3, 11.10.2001, p. 260-264.Research output: Contribution to journal › Article
TY - JOUR
T1 - Easier hepatic resections with a straight needle
AU - Chang, Yu Chung
AU - Nagasue, Naofumi
AU - Lin, Xi-Zhang
AU - Chen, Chu San
PY - 2001/10/11
Y1 - 2001/10/11
N2 - 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.
AB - 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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U2 - 10.1016/S0002-9610(01)00698-5
DO - 10.1016/S0002-9610(01)00698-5
M3 - Article
VL - 182
SP - 260
EP - 264
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -