Experience with the use of fibrin sealant plus polyglycolic acid felt at the cut surface of the liver in laparoscopic hepatectomy

Kobayashi, Shogo; Nagano, Hiroaki; Marubashi, Shigeru; Wada, Hiroshi; Eguchi, Hidetoshi; Tanemura, Masahiro; Sekimoto, Mitsugu; Umeshita, Koji; Doki, Yuichiro; Mori, Masaki

doi:10.1007/s00464-011-1764-4

Cited by 29 publications

(15 citation statements)

References 17 publications

(24 reference statements)

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“…The hybrid technique is started as a pure laparoscopic procedure, but the resection of the liver is performed through a mini‐laparotomy incision. Hand‐assisted laparoscopic surgery was defined as the elective placement of a hand port during laparoscopic liver resection, as previously described . Hepatic resection was carried out using an ultrasonic surgical aspirator (CUSA; Cavitron Lasersonic, Stamford, CT, USA), laparosonic coagulating shears (Ethicon Endo‐Surgery, Cincinnati, OH, USA), and a bipolar clamp coagulation system (VIO 300D; Erbe Elektromedizin, Tübingen, Germany).…”

Section: Methodsmentioning

confidence: 99%

Minimally invasive liver resection for hepatocellular carcinoma of patients with liver damage B: A propensity score‐based analysis

Noda

Eguchi

Iwagami

et al. 2018

Hepatology Research

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Section: Methodsmentioning

confidence: 99%

Minimally invasive liver resection for hepatocellular carcinoma of patients with liver damage B: A propensity score‐based analysis

Noda

Eguchi

Iwagami

et al. 2018

Hepatology Research

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“…The use of fibrin sealant plus polyglycolic acid for the treatment of liver stump compared to no particular treatment of the liver cut surface results in similar outcomes regarding postoperative bleeding [34] (Grade C).…”

Section: Treatment Of the Liver Stumpmentioning

confidence: 97%

“…[66] 2011 Surg Endosc Precoagulation by mono or bipolar RF for liver transection Kobayashi et al [34] 2011 Surg Endosc Use of fibrin sealant at the cut liver surface Packiam et al [67] 2012 J Gastrointest Surg Robotic LLR Patriti et al [68] 2012 Updates Surg Comparing intermittent Pringle maneuver versus no clamping in robotic LLR Tan et al [31] 2012 J Laparoendosc Adv Surg Tech A Use of intermittent Pringle, hemihepatic clamping and selective clamping Tranchart et al [6] 2013 Am J Surg Prior vascular control Ji et al [69] 2004 Chir Gastroenterol Multifunctional device used during liver transection Retrospective series Toyama et al [23] 2006 J Hepatobiliary Pancreat Surg…”

Section: Transection Devicesmentioning

confidence: 99%

Bleeding control during laparoscopic liver resection: a review of literature

Tranchart

O’Rourke

Dam

et al. 2015

J Hepatobiliary Pancreat Sci

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Despite the established advantages of laparoscopy, bleeding control during laparoscopic liver resection (LLR) is a liver-specific improvement. The 2nd International Consensus Conference on Laparoscopic Liver Resection was held in October 2014 at Morioka, Japan. One of the most capital questions was: What is essential in bleeding control during LLR? In order to correctly address this question, we conducted a comprehensive review of the literature. Essential points based on personal experience of the expert panel are also discussed. A total of 54 publications were identified. Based on this analysis, the working group built these recommendations: (1) a pneumoperitoneum of 10-14 mmHg should be used as it allows a good control of the bleeding without significant modifications of hemodynamics; (2) a low central venous pressure (<5 mmHg) should be used; (3) laparoscopy facilitates inflow and outflow control; and (4) surgeons should be experienced with the use of all surgical devices for liver transection and should master laparoscopic suture before starting LLR. Precoagulation with radiofrequency can be useful, particularly in cases of atypical resection. These recommendations are mostly based on experts' opinions and on B or C quality of evidence grade studies. More prospective data are required to confirm these results.

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“…Laparoscopic surgical techniques have recently been applied to liver resection, despite the fact that their feasibility remains controversial. Although several randomized controlled trials (RCT) have been carried out to investigate the usefulness of laparoscopic techniques in gastric and colorectal surgery, laparoscopic liver resection (LLR) has a relatively short history and the surgical techniques are still under development.…”

Section: Introductionmentioning

confidence: 99%

Short‐term outcomes of open liver resection and laparoscopic liver resection: Secondary analysis of data from a multicenter prospective study (CSGO‐HBP‐004)

Kobayashi

Fukui

Takeda

et al. 2017

Annals of Gastroent Surgery

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The aim of the present study was to compare short‐term outcomes of laparoscopic and open liver resection (LLR and OLR, respectively), and we first analyzed a preoperatively enrolled and prospectively collected database. We carried out a secondary analysis using a preoperative enrolled database that included the details of 786 patients who had been enrolled in a previously carried out randomized controlled trial to assess short‐term outcomes, including morbidities. Statistical analyses included logistic regression, propensity score matching (PSM) with replacement, and inverse probability of treatment weighting (IPTW) analyses. Among 780 liver resections, OLR was carried out in 543 patients and LLR was carried out in 237 patients. LLR was selected in patients with a worse liver function and was related to a smaller resected liver weight and/or partial resection. Logistic regression, PSM, and IPTW analyses revealed that LLR was associated with less blood loss and a lower incidence of morbidities, but a longer operating time. LLR was found to be a preferred factor in biliary leakage by IPTW only. LLR was a preferred factor for blood loss, morbidities and hospital stay, but was associated with a longer operating time. UMIN‐CTR, UMIN000003324.

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Experience with the use of fibrin sealant plus polyglycolic acid felt at the cut surface of the liver in laparoscopic hepatectomy

Abstract: Use of fibrin sealant with PGA felt in laparoscopic hepatectomy appears to be feasible, and the outcomes are not inferior to those in the control group.

Cited by 29 publications

References 17 publications

Minimally invasive liver resection for hepatocellular carcinoma of patients with liver damage B: A propensity score‐based analysis

Minimally invasive liver resection for hepatocellular carcinoma of patients with liver damage B: A propensity score‐based analysis

Bleeding control during laparoscopic liver resection: a review of literature

Short‐term outcomes of open liver resection and laparoscopic liver resection: Secondary analysis of data from a multicenter prospective study (CSGO‐HBP‐004)

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