Laparoscopic Liver Resection for Hepatocellular Carcinoma in the Left Liver: Pringle Maneuver Versus Tourniquet Method

Zhen, Zuo Jun; Lau, Wan Yee; Wang, Feng Jie; Lai, Eric C. H.

doi:10.1007/s00268-009-0320-z

Cited by 18 publications

(10 citation statements)

References 14 publications

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“…However, it currently is one of the realistic chemical sealants, and when it is used in combination with PGA felt, it is applicable without the conventional fibrin spray [10]. Actually, in laparoscopic hepatectomy, several authors have routinely used a spray for placing FS [20,21]. However, the spray method is associated with a risk of air embolism, and there was an assessment of effect and risk.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2011

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Section: Discussionmentioning

confidence: 99%

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

et al. 2011

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“…Several reports described the techniques for extracorporeal PM, but the steps of these procedures are similar . The extracorporeal technique usually uses synthetic or cloth tape, applied with a grasper or articulating dissector, to encircle the hepatoduodenal ligament.…”

Section: Pringle's Maneuvermentioning

confidence: 99%

Useful maneuvers for precise laparoscopic liver resection

Chanwat

2018

Asian J Endoscop Surgery

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Laparoscopic liver resection has evolved over the past decade and nearly replaced open exploration. This procedure not only provides comparable oncological outcomes, but it also has improved recovery after surgery. Many of the challenges presented by limitations of instruments and techniques have been overcome through adaptations and new developments, and it is possible that the remaining obstacles will be overcome within a few years. Moreover, as surgeons continue to gain experience, their technical knowledge has supported further improvement in minimally invasive approaches. This review examines every important procedures in performing a precise laparoscopic liver resection.

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“…Liver transection with ultrasonic dissector Uchiyama et al [72] [31,32] (Grade C). Furthermore, the excellent view of the hepato-caval confluence during laparoscopy probably facilitates outflow control (Grade D).…”

Section: Modified Hanging Maneuvermentioning

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 Liver Resection for Hepatocellular Carcinoma in the Left Liver: Pringle Maneuver Versus Tourniquet Method

Cited by 18 publications

References 14 publications

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

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

Useful maneuvers for precise laparoscopic liver resection

Bleeding control during laparoscopic liver resection: a review of literature

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