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Related Experiment Video

Updated: Jul 8, 2025

Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
03:45

Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler

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PARTIAL HEPATECTOMY USING LINEAR CUTTER STAPLER: ARE THERE ADVANTAGES?

Marcio Fernandes Chedid1, Pietro Waltrick Brum1, Tomaz de Jesus Maria Grezzana-Filho1

  • 1Universidade Federal do Rio Grande do Sul, Porto Alegre University Hospital, Hepatobiliary Surgery and Liver Transplantation Unit - Porto Alegre (RS), Brazil.

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
|December 13, 2023
PubMed
Summary

The linear cutting stapler (LCS) offers an efficient, lower-cost alternative for liver resections, proving effective for transecting liver parenchyma and stapling vessels. Further research is needed for its use in major liver resections.

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Last Updated: Jul 8, 2025

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Area of Science:

  • Hepatobiliary surgery
  • Surgical oncology
  • Minimally invasive surgery

Background:

  • Liver resections carry risks of bleeding and biliary fistulas.
  • The Endo-GIA stapler (EG) is effective but costly.
  • The linear cutting stapler (LCS) presents a more affordable option.

Purpose of the Study:

  • To evaluate the efficacy of the linear cutting stapler (LCS) in open liver resections.
  • To assess LCS for transecting liver parenchyma and stapling vessels and bile ducts.

Main Methods:

  • Open liver resections were performed on ten patients.
  • LCS was used for liver parenchyma transection and en bloc stapling.
  • Patient conditions included benign tumors, colorectal metastases, and rare tumor metastases.

Main Results:

  • Average hospital stay was five days.
  • Two patients undergoing segment II/III resections had complications (seroma, fluid collection).
  • Three patients undergoing major resections experienced complications (anemia, biloma).

Conclusions:

  • LCS is an efficient and cost-effective stapler for hepatectomies, suitable when EG is unavailable.
  • LCS shaft size is advantageous for left lateral segment resections.
  • Further studies are required for LCS safety in large liver resections and right lobe tumor resections.