Modified conventional clamp-crushing technique in liver parenchymal transection

Area of Science:

• Hepatobiliary Surgery
• Surgical Techniques
• Minimally Invasive Procedures

Background:

• Conventional clamp-crushing techniques for liver parenchymal transection carry risks of significant intraoperative bleeding and injury to vital structures.
• Effective and safe methods for liver resection are crucial for patient outcomes.

Purpose of the Study:

• To evaluate a modified mosquito clamp-crushing technique combined with a self-assembled saline-linked diathermy for liver parenchymal transection.
• To assess the safety and efficacy of this technique in reducing blood loss and preventing damage to vital structures.

Main Methods:

• Liver resection was performed on 242 patients utilizing a mosquito clamp-crushing technique integrated with a self-assembled saline-linked diathermy for parenchymal transection.
• Data on blood loss, operative time, and intraoperative complications were prospectively collected and analyzed.

Main Results:

• The mean blood loss was significantly reduced to 215 mL (range 20-1100 mL).
• No instances of damage to vital structures within the liver remnant were reported.
• The mean liver transection time was 53 minutes (range 15-125 minutes).

Conclusions:

• The mosquito clamp-crushing technique with saline-linked diathermy offers a safe and effective alternative for liver parenchymal transection.
• This method demonstrates clear advantages in minimizing blood loss and protecting critical intrahepatic structures.
• The technique is simple, cost-effective, and suitable for widespread clinical application in liver resections.