TY - JOUR
T1 - Simplified hepatic resections with the use of a Chang's needle
AU - Chang, Yu Chung
AU - Nagasue, Naofumi
AU - Chen, Chu San
AU - Lin, Xi Zhang
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2006/2
Y1 - 2006/2
N2 - Objective: To demonstrate the use of Chang's needle for hepatic resections. Summary Background Data: Specialized instruments, fine surgical skills, and good control of hepatic inflow and backflow are essential for hepatic resections. This needle was specifically designed to simplify these requirements. Methods: Whole-thickness interlocking sutures of the liver can first be made along the designed resection line with a Chang's needle; then parenchyma transection can follow without inflow or backflow control. This was consecutively performed on 69 patients with primary (41), metastatic (10), and benign (18) diseases since 1997. Results: Blood loss during parenchyma transection was reduced in 11 right lobectomies (652 mL), 1 3-segmentectomy (300 mL), 14 bisegmentectomies (252 mL), 7 segmentectomies (104 mL), 12 subsegmentectomies (19 mL), 5 wedge resections (7 mL), 18 left lateral segmentectomies (110 mL), and 1 hepatorrhaphy (minimal). There was no procedure-related mortality. A mild bile leakage occurred in 1 case (1.5%) but healed spontaneously. Conclusions: The preliminary results demonstrate that this maneuver is a simple, easy, and safe method for performing hepatic resections.
AB - Objective: To demonstrate the use of Chang's needle for hepatic resections. Summary Background Data: Specialized instruments, fine surgical skills, and good control of hepatic inflow and backflow are essential for hepatic resections. This needle was specifically designed to simplify these requirements. Methods: Whole-thickness interlocking sutures of the liver can first be made along the designed resection line with a Chang's needle; then parenchyma transection can follow without inflow or backflow control. This was consecutively performed on 69 patients with primary (41), metastatic (10), and benign (18) diseases since 1997. Results: Blood loss during parenchyma transection was reduced in 11 right lobectomies (652 mL), 1 3-segmentectomy (300 mL), 14 bisegmentectomies (252 mL), 7 segmentectomies (104 mL), 12 subsegmentectomies (19 mL), 5 wedge resections (7 mL), 18 left lateral segmentectomies (110 mL), and 1 hepatorrhaphy (minimal). There was no procedure-related mortality. A mild bile leakage occurred in 1 case (1.5%) but healed spontaneously. Conclusions: The preliminary results demonstrate that this maneuver is a simple, easy, and safe method for performing hepatic resections.
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U2 - 10.1097/01.sla.0000197380.33169.6e
DO - 10.1097/01.sla.0000197380.33169.6e
M3 - Article
C2 - 16432348
AN - SCOPUS:31844433898
VL - 243
SP - 169
EP - 172
JO - Annals of Surgery
JF - Annals of Surgery
SN - 0003-4932
IS - 2
ER -