Related Experiment Video
Updated: Apr 19, 2026
Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
Published on: October 6, 2023
Experience with a simple clamp-crush technique devoid of other devices for liver resections in a surgical oncology
1Department of Surgery, Indiana University School of Medicine, South Bend, IU Health Goshen Center for Cancer Care, 200 High Park Avenue, Goshen, IN 46526, USA.
Background:
Parenchyma transection techniques during liver resection (LR) are linked to intraoperative blood loss and postoperative morbidity, with a recent increased use of energy devices over traditional clamp-crush hepatotomy (CCH).
Methods:
Prospectively collected data from 191 consecutive patients undergoing LR with exclusive CCH by a single surgeon were examined.
Results:
There were 94 men and 97 women, with 25% primary and 59% secondary malignancies or other conditions (16%). Forty-nine percent of LRs were major, 65% anatomic, and 32% included extrahepatic components. Median Pringle time was 23 minutes (9 to 76), blood loss 300 mL (20 to 5,000), and red blood cell transfusion rate 14%. Morbidity rate was 27% with 6 deaths. Significant relationships were observed for blood loss with complex resections, transfusions, major morbidity, and length of stay, but not between Pringle time and any outcomes.
Conclusion:
A CCH technique as employed in this LR experience without any use of additional devices can yield good postoperative results.
