Debakey Forceps Crushing Technique for Hepatic Parenchymal Transection in Liver Surgery: A Review of 100 Cases and Ergonomic Advantages

Abstract

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. Mean age, transection time and hospital stay of 100 patients were 52.38 ± 17.44 years, 63.36 ± 33.4 minutes, and 10.27 ± 5.7 days. Transection time, and hospital stay in patients with cirrhotic liver (130.4 ± 44.4 mins, 14.6 ± 5.5 days) and cholestatic liver (75.8 ± 19.7 mins, 16.5 ± 5.1 days) were significantly greater than in patients with normal liver (48.1 ± 20.1 mins, 6.7 ± 1.8 days) (P < 0.01). Transection time improved significantly with experience (first fifty versus second fifty cases—70.2 ± 31.1 mins versus 56.5 ± 34.5 mins, P < 0.04). Qualitative evaluation revealed that Debakey forceps had ergonomic advantages over Kelly clamp. Conclusions. Debakey forceps crushing technique is safe and effective for liver parenchymal transection in all kinds of liver. Transection time improves with surgeon's experience. It has ergonomic advantages over Kelly clamp and is a better choice for liver transection.

The Impact of DeBakey Forceps on Cardiac Surgery: Revolutionizing the Surgical Landscape

“…This has contributed to increased success rates in cardiac procedures and the advancement of the field. Furthermore, DeBakey forceps are versatile instruments used in various surgical contexts beyond cardiac surgery, including vascular surgery, neurosurgery, and general surgery, making them a staple in operating rooms worldwide [3][4][5][6][7][8][9][10][11][12][13][14][15].…”

“…This precision is crucial, particularly in delicate procedures involving intricate tissues or fine suturing, where even minor errors can have significant consequences for patient outcomes (Figures 6-10) [7]. Image credit: [6].…”

“…By providing intuitive feedback and tactile cues, ergonomic instruments empower surgeons to execute precise movements confidently, ultimately improving surgical outcomes and patient safety (Figures 11-12). Image credit: [6].…”

“…DeBakey forceps offer surgeons a natural hand posture, minimizing tissue damage during surgery and preventing fatigue while ensuring wrist stability. This ergonomic design enhances the surgeon's comfort and contributes to maintaining precision and control throughout the procedure [6,7,10,14,15]. By aligning with the hand's natural posture, DeBakey forceps reduce the strain on the surgeon's muscles and joints, promoting greater endurance during lengthy surgical interventions.…”

“…These forceps excel in securely gripping tissue with strength while minimizing trauma. Their multiple fine serrations function like a traditional bed of nails , distributing the grasping pressure across numerous points to prevent tissue penetration [ 3 , 4 , 5 , 6 , 7 ].…”