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Related Experiment Video

Updated: Jun 26, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

Techniques for liver parenchymal transection in liver resection.

Kurinchi Selvan Gurusamy1, Viniyendra Pamecha, Dinesh Sharma

  • 1University Department of Surgery, Royal Free Hospital and University College School of Medicine, 9th Floor, Royal Free Hospital, Pond Street, London, UK, NW3 2QG. kurinchi2k@hotmail.com

The Cochrane Database of Systematic Reviews
|January 23, 2009
PubMed
Summary

The clamp-crush technique for liver resection is recommended as it is cost-effective and avoids specialized equipment. Newer methods offer no significant benefits in reducing complications or transfusion needs.

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Area of Science:

  • Hepatobiliary surgery
  • Surgical techniques
  • Minimally invasive surgery

Background:

  • Blood loss during liver resection significantly impacts surgical outcomes.
  • Various parenchymal transection techniques aim to minimize blood loss.

Purpose of the Study:

  • To evaluate the advantages and disadvantages of different liver parenchymal transection methods.
  • To compare techniques regarding blood loss, complications, and patient recovery.

Main Methods:

  • Systematic review of randomized clinical trials.
  • Searched multiple databases including Cochrane Library, MEDLINE, and EMBASE.
  • Extracted data on patient characteristics, bias risk, outcomes, and costs.

Main Results:

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Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
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Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach

Published on: May 23, 2025

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Last Updated: Jun 26, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
13:57

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach

Published on: May 23, 2025

  • Clamp-crush technique showed lower blood transfusion requirements compared to CUSA and hydrojet.
  • Radiofrequency dissecting sealer (RFDS) resulted in higher infective complications and blood loss than clamp-crush.
  • No significant differences in mortality, morbidity, or hospital stay were observed across most comparisons.

Conclusions:

  • The clamp-crush technique is favored due to its cost-effectiveness and lack of need for specialized equipment.
  • Newer transection methods do not demonstrate superior outcomes in reducing morbidity or transfusion requirements.