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crush clamp and liver resection

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https://www.readbyqxmd.com/read/27797116/methods-to-decrease-blood-loss-during-liver-resection-a-network-meta-analysis
#1
REVIEW
Elisabetta Moggia, Benjamin Rouse, Constantinos Simillis, Tianjing Li, Jessica Vaughan, Brian R Davidson, Kurinchi Selvan Gurusamy
BACKGROUND: Liver resection is a major surgery with significant mortality and morbidity. Specialists have tested various methods in attempts to limit blood loss, transfusion requirements, and morbidity during elective liver resection. These methods include different approaches (anterior versus conventional approach), use of autologous blood donation, cardiopulmonary interventions such as hypoventilation, low central venous pressure, different methods of parenchymal transection, different methods of management of the raw surface of the liver, different methods of vascular occlusion, and different pharmacological interventions...
October 31, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26432546/a-cochrane-systematic-review-and-network-meta-analysis-comparing-treatment-strategies-aiming-to-decrease-blood-loss-during-liver-resection
#2
REVIEW
Constantinos Simillis, Tianjing Li, Jessica Vaughan, Lorne A Becker, Brian R Davidson, Kurinchi S Gurusamy
INTRODUCTION: Intraoperative haemorrhage remains one of the major risks during liver resection, and perioperative blood loss and blood transfusion are important factors affecting perioperative morbidity and mortality. The aim of this study is to compare treatment strategies aiming to decrease blood loss during hepatectomy. METHODS: A systematic review of the literature was performed to identify randomised controlled trials reporting on the method of vascular occlusion, parenchymal transection, and management of the cut surface during liver resection...
November 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/25925431/biclamp%C3%A2-forcep-liver-transection-versus-clamp-crushing-technique-for-liver-resection-study-protocol-for-a-randomized-controlled-trial
#3
RANDOMIZED CONTROLLED TRIAL
Jiang-ming Chen, Wei Geng, Fu-bao Liu, Hong-chuan Zhao, Sheng-xue Xie, Hui Hou, Yi-jun Zhao, Guo-bin Wang, Xiao-ping Geng
BACKGROUND: Blood loss and the requirement of blood transfusions during liver transection have been shown to correlate well with higher morbidity and mortality rates and a worse prognosis. Various devices for liver parenchymal transection have been developed to reduce intraoperative blood loss. The goal of this study is to evaluate the safety and effectiveness of BiClamp® forcep transection compared to a clamp crushing technique in patients undergoing liver resection. METHODS/DESIGN: This study will include patients 18 years and older scheduled for hepatectomy with hepatic vascular exclusion who give informed consent...
April 30, 2015: Trials
https://www.readbyqxmd.com/read/25787911/short-and-long-term-outcomes-of-hepatectomy-with-or-without-radiofrequency-assist-for-the-treatment-of-hepatocellular-carcinomas-a-retrospective-comparative-cohort-study
#4
COMPARATIVE STUDY
Rui Guo, Xiaobin Feng, Senlin Xiao, Jun Yan, Feng Xia, Kuansheng Ma, Xiaowu Li
The objective of this study was to compare the short- and long-term outcomes of radiofrequency-assisted liver resection (RFLR) and conventional clamp-crushing liver resection (CCLR) and to evaluate the safety and efficiency of RFLR. Between January 2008 and December 2012, a total of 597 patients with hepatocellular carcinoma (HCC) who underwent curative hepatectomy were identified. A total of 272 patients underwent RFLR, and 325 patients received CCLR. The short- and long-term outcomes were compared. The patients in the RFLR and CCLR groups showed similar baseline characteristics...
February 2015: Bioscience Trends
https://www.readbyqxmd.com/read/25755368/40-comparison-of-cusa-and-kelly-s-clamp-crush-technique-as-liver-parenchymal-techniques-in-liver-resection
#5
L Kaman, E Yhoshu, D Dahia
No abstract text is available yet for this article.
September 2011: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/25557971/experience-with-a-simple-clamp-crush-technique-devoid-of-other-devices-for-liver-resections-in-a-surgical-oncology-practice
#6
Roderich E Schwarz
BACKGROUND: Parenchyma transection techniques during liver resection (LR) are linked to intraoperative blood loss and postoperative morbidity, with a recent increased use of energy devices over traditional clamp-crush hepatotomy (CCH). METHODS: Prospectively collected data from 191 consecutive patients undergoing LR with exclusive CCH by a single surgeon were examined. RESULTS: There were 94 men and 97 women, with 25% primary and 59% secondary malignancies or other conditions (16%)...
March 2015: American Journal of Surgery
https://www.readbyqxmd.com/read/25468459/a-prospective-randomized-controlled-trial-comparison-of-two-different-methods-of-hepatectomy
#7
RANDOMIZED CONTROLLED TRIAL
Sun Hanyong, Lau Wanyee, Fu Siyuan, Liu Hui, Yang Yuan, Lin Chuan, Zhou Weiping, Wu Mengchao
BACKGROUND: Hemorrhage and liver failure are the two major complications in partial hepatectomy. The finger fracture or clamp crushing technique has been a standard technique used for transection of liver parenchyma. Hepatic vascular Inflow occlusion (Pringle maneuver, PM) is often used to minimize blood loss, but hepatic ischemia-reperfusion may result with an increased risk of post-operative liver failure. The Harmonic scalpel (HS) has been shown to be effective in reducing blood loss during liver parenchymal transection without any hepatic vascular inflow occlusion...
February 2015: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/25298187/-liver-transection-modern-procedure-technique-results-and-costs
#8
REVIEW
H Bruns, M W Büchler, P Schemmer
Liver resection has developed into the current standard procedure due to modern resection techniques, profound knowledge of the liver anatomy and optimized surgical and anesthesiological strategies to allow extended resections with both low morbidity and mortality. Initially major blood loss was the biggest concern with liver resection and a Pringle's manoeuvre was necessary. Nowadays, biliary leakage is the major problem after liver surgery. Besides the classical conventional clamp crushing technique for parenchymal transection, various devices including ultrasound, microwaves and staplers have been introduced...
June 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/25024620/outcomes-of-simple-saline-coupled-bipolar-electrocautery-for-hepatic-resection
#9
COMPARATIVE STUDY
Jian-Yang Guo, De-Wei Li, Rui Liao, Ping Huang, Xian-Bing Kong, Ji-Ming Wang, Hong-Lin Wang, Shi-Qiao Luo, Xiong Yan, Cheng-You Du
AIM: To evaluate the application of bipolar coagulation (BIP) in hepatectomy by comparing the efficacy of BIP alone, cavitron ultrasonic surgical aspirator (CUSA) + BIP and conventional clamp crushing (CLAMP). METHODS: Based on our database of patient records, a total of 380 consecutive patients who underwent hepatectomy at our hospital were retrospectively studied for the efficacy of BIP alone, CUSA + BIP and CLAMP. Of all the patients, 75 received saline-coupled BIP (Group A), 53 received CUSA + BIP (Group B), and 252 received CLAMP (Group C)...
July 14, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/25009367/debakey-forceps-crushing-technique-for-hepatic-parenchymal-transection-in-liver-surgery-a-review-of-100-cases-and-ergonomic-advantages
#10
Sundeep Jain, Bharat Sharma, Mitesh Kaushik, Lokendra Jain
Introduction and Objective. Bleeding is an important complication in liver transections. To determine the safety and efficacy of Debakey forceps for liver parenchymal transection and its ergonomic advantages over clamp crushing method we analysed our data. Methods. We used Debakey crushing technique in 100 liver resections and analysed data for transection time, transfusion rate, morbidity, mortality, hospital stay, influence of different types of liver conditions, and ergonomi features of Debakey forceps. Results...
2014: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://www.readbyqxmd.com/read/24857066/liver-directed-therapies-surgical-approaches-alone-and-in-combination-with-other-interventions
#11
REVIEW
Gaya Spolverato, Timothy M Pawlik
When feasible, surgical resection is typically the preferred therapeutic option in patients with both primary and secondary hepatic malignancies. Improved patient selection, preoperative management, and advances in perioperative care have had a considerable effect on short-term and long-term outcomes following hepatic resection. Parenchymal transection of the liver can be performed using many different techniques such as digitoclasia, clamp crushing, vessel sealing system, harmonic scalpel, water-jet, Cavitron Ultrasonic Surgical Aspirator, or radiofrequency dissecting sealer...
2014: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/24696014/methods-to-decrease-blood-loss-during-liver-resection-a-network-meta-analysis
#12
REVIEW
Constantinos Simillis, Tianjing Li, Jessica Vaughan, Lorne A Becker, Brian R Davidson, Kurinchi Selvan Gurusamy
BACKGROUND: Liver resection is a major surgery with significant mortality and morbidity. Various methods have been attempted to decrease blood loss and morbidity during elective liver resection. These methods include different methods of vascular occlusion, parenchymal transection, and management of the cut surface of the liver. A surgeon typically uses only one of the methods from each of these three categories. Together, one can consider this combination as a treatment strategy. The optimal treatment strategy for liver resection is unknown...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/24622740/-stapler-vs-clamp-crushing-transection-for-liver-resection-a-randomized-clinical-trial
#13
COMMENT
O Strobel, M W Büchler
No abstract text is available yet for this article.
April 2014: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/24473641/radical-but-conservative-liver-resection-for-large-centrally-located-hepatocellular-carcinoma-the-mini-upper-transversal-hepatectomy
#14
Guido Torzilli, Fabio Procopio, Matteo Cimino, Matteo Donadon, Daniele Del Fabbro, Guido Costa, Andrea Gatti, Carlos A Garcia-Etienne
BACKGROUND: In patients with hepatocellular carcinoma (HCC) in a diseased liver, surgery should be offered in a parenchyma-sparing fashion. This approach seems unfeasible for large and deeply located lesions. Ultrasound study of the tumor-vessel relationship and hepatic inflow and outflow opens new technical solutions: herein is described a new operation based on this approach.1 (-) 3 METHODS: A 69-year-old man with a large centrally located HCC (Barcelona Clinic Liver Cancer stage C) underwent surgery...
June 2014: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/24467672/radiofrequency-vessel-sealing-system-versus-the-clamp-crushing-technique-in-liver-transection-results-of-a-prospective-randomized-study-on-100-consecutive-patients
#15
RANDOMIZED CONTROLLED TRIAL
Andrea Muratore, Alfredo Mellano, Giuseppe Tarantino, Patrizia Marsanic, Michele De Simone, Fabrizio Di Benedetto
BACKGROUND: Liver transection is considered a critical factor influencing intra-operative blood loss. A increase in the number of complex liver resections has determined a growing interest in new devices able to 'optimize' the liver transection. The aim of this randomized controlled study was to compare a radiofrequency vessel-sealing system with the 'gold-standard' clamp-crushing technique. METHODS: From January to December 2012, 100 consecutive patients undergoing a liver resection were randomized to the radiofrequency vessel-sealing system (LF1212 group; N = 50) or to the clamp-crushing technique (Kelly group, N = 50)...
August 2014: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/24402888/randomized-clinical-trial-of-stapler-versus-clamp-crushing-transection-in-elective-liver-resection
#16
RANDOMIZED CONTROLLED TRIAL
N N Rahbari, H Elbers, M Koch, P Vogler, F Striebel, T Bruckner, A Mehrabi, P Schemmer, M W Büchler, J Weitz
BACKGROUND: Various devices have been developed to facilitate liver transection and reduce blood loss in liver resections. None of these has proven superiority compared with the classical clamp-crushing technique. This randomized clinical trial compared the effectiveness and safety of stapler transection with that of clamp-crushing during open liver resection. METHODS: Patients admitted for elective open liver resection between January 2010 and October 2011 were assigned randomly to stapler transection or the clamp-crushing technique...
February 2014: British Journal of Surgery
https://www.readbyqxmd.com/read/24290429/radiofrequency-assisted-versus-clamp-crush-liver-resection-a-systematic-review-and-meta-analysis
#17
REVIEW
Wei-Kai Xiao, Dong Chen, An-Bin Hu, Bao-Gang Peng, Yi-Zhan Guo, Shun-Jun Fu, Li-Jian Liang, Shao-Qiang Li
BACKGROUND: Conflicting results were found between radiofrequency-assisted liver resection (RF-LR) and clamp-crush liver resection (CC-LR) during liver surgery. We conducted a systematic review and meta-analysis that included randomized controlled trials (RCTs) and non-RCTs to compare the effectiveness and safety of RF-LR versus CC-LR during liver surgery. METHODS: Articles comparing RF-LR and CC-LR that were published before December 2012 were retrieved and subjected to a systematic review and meta-analysis...
April 2014: Journal of Surgical Research
https://www.readbyqxmd.com/read/23954369/usefulness-of-vessel-sealing-devices-combined-with-crush-clamping-method-for-hepatectomy-a-retrospective-cohort-study
#18
Atsushi Nanashima, Takafumi Abo, Junichi Arai, Katsunori Takagi, Hirofumi Matsumoto, Hiroaki Takeshita, Tomoshi Tsuchiya, Takeshi Nagayasu
BACKGROUND: Blood loss during resection of the hepatic parenchyma in hepatectomy can be minimized using vessel-sealing (VS) devices. Some sealing devices were retrospectively compared to evaluate the efficacy of each device for controlling blood loss, transection time and postoperative complications in hepatectomy as a cohort study. METHODS: Between 2005 and September 2012, hepatectomy was underwent in 150 patients using one of three types of LigaSure™ (Dolphin Tip Laparoscopic Instrument, Precise or Small Jaw) or the Harmonic Focus or Ace ultrasonic dissecting sealer...
2013: International Journal of Surgery
https://www.readbyqxmd.com/read/23323003/prealbumin-is-predictive-for-postoperative-liver-insufficiency-in-patients-undergoing-liver-resection
#19
Liang Huang, Jing Li, Jian-Jun Yan, Cai-Feng Liu, Meng-Chao Wu, Yi-Qun Yan
AIM: To investigate the risk factors for postoperative liver insufficiency in patients with Child-Pugh class A liver function undergoing liver resection. METHODS: A total of 427 consecutive patients undergoing partial hepatectomy from October 2007 to April 2011 at a single center (Department of Hepatic SurgeryI, Eastern Hepatobiliary Surgery Hospital, Shanghai, China) were included in the study. All the patients had preoperative liver function of Child-Pugh class A and were diagnosed as having primary liver cancer by postoperative histopathology...
December 21, 2012: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/23285646/-functional-state-of-liver-before-and-after-its-resection-using-various-dissection-methods
#20
RANDOMIZED CONTROLLED TRIAL
D I Skoryĭ
Today a few randomized investigations have been accomplished, in which advantages and disadvantages of various methods of hepatic resection are compared. The investigation objective was to estimate the hepatic functional state before and after its resection, using various methods of parenchymal dissection. Randomized investigation was conducted in 90 patients, to whom hepatic resection, using scalpel, with its preliminary suturing by the block-like sutures with the Vycril thread, applying radiofrequency coagulator, "clamp crushing" procedure, ultrasonic (Sonoca 300) and a water-jet (Hydrojet) dissectors...
September 2012: Klinichna Khirurhiia
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