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Updated: Mar 9, 2026
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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
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Secure, low-cost technique for laparoscopic hepatic resection using the crush-clamp method with a bipolar sealer
Takatsugu Yamamoto1, Takahiro Uenishi1, Kazuhisa Kaneda1
1Department of Surgery, Ishikiri Seiki Hospital, Higashiosaka, Japan.
Asian Journal of Endoscopic Surgery
|January 4, 2017
Summary
This study introduces a simpler laparoscopic hepatectomy technique using fewer energy devices, reducing bleeding and hospital stay for liver tumor patients.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic hepatectomy traditionally requires multiple energy devices and lacks manual control.
- This complexity can make the procedure challenging for surgeons.
Purpose of the Study:
- To present a simplified laparoscopic hepatectomy technique.
- To evaluate its efficacy in reducing intraoperative bleeding and hospital stay.
Main Methods:
- The study involved 40 patients undergoing laparoscopic hepatectomy for liver tumors.
- A novel technique using bipolar radiofrequency coagulation forceps and an ultrasonic dissector for parenchymal transection was employed.
- Large vessels and Glisson's sheaths were managed with clips or autosutures.
Main Results:
- The mean operation time was 196.9 minutes, with a mean blood loss of 69.9 mL.
- The average postoperative hospitalization was 9.5 days.
- No blood transfusions were required, and no serious complications occurred.
Conclusions:
- The described method simplifies laparoscopic hepatectomy.
- It effectively decreases intraoperative bleeding and shortens hospital stays.
- This technique offers a safe and efficient approach to liver resection.
