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Updated: Dec 13, 2025

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

[Blood-saving technologies in extensive liver resections].

G E Cherkasov¹, N N Bagmet¹, I N Solovyeva¹

¹Petrovsky Russian Research Center of Surgery, Moscow, Russia.

|August 2, 2020

Summary

This summary is machine-generated.

Extensive liver resections, involving three or more segments, benefit from blood-saving strategies. These techniques minimize blood loss during complex surgeries for liver lesions.

Keywords:

blood loss blood-saving technologies extensive liver resection hemihepatectomy hemorrhagic complications surgical hepatology

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Technique of Subnormothermic Ex Vivo Liver Perfusion for the Storage, Assessment, and Repair of Marginal Liver Grafts

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Last Updated: Dec 13, 2025

Application of Hemostatic Devices in Laparoscopic Hepatectomy

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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

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Technique of Subnormothermic Ex Vivo Liver Perfusion for the Storage, Assessment, and Repair of Marginal Liver Grafts

Technique of Subnormothermic Ex Vivo Liver Perfusion for the Storage, Assessment, and Repair of Marginal Liver Grafts

Published on: August 13, 2014

Area of Science:

Hepatobiliary surgery
Surgical oncology
Transfusion medicine

Background:

Extensive liver resections are crucial for treating focal liver lesions.
Significant blood loss is a major challenge during these procedures.
Effective blood management is essential for patient safety and outcomes.

Purpose of the Study:

To analyze blood-saving technologies applicable to extensive liver resections.
To review methods for preventing and reducing intraoperative blood loss.
To consolidate current knowledge on managing hemorrhage in major liver surgery.

Main Methods:

Review of surgical techniques: anatomical resection, hilar glissonean access, Pringle maneuver.
Analysis of anesthesiological approaches: central venous pressure reduction, hemostatic agents.
Evaluation of transfusion strategies: autologous blood donation, cell saver technology.

Main Results:

Multiple surgical, anesthesiological, and transfusion methods effectively reduce blood loss.
Key intraoperative measures include precise dissection, appropriate incision, and use of hemostatic agents.
Combined approaches offer the best strategy for blood loss management.

Conclusions:

Blood-saving technologies are vital for safe and effective extensive liver resections.
A multidisciplinary approach integrating surgical, anesthetic, and transfusion strategies is recommended.
Continued research and application of these techniques improve patient outcomes in liver surgery.