Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hepatic resection using a water jet dissector

H U Baer1, S C Stain, T Guastella

  • 1Clinic for Visceral and Transplantation Surgery, Inselspital, University of Berne, Switzerland.

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Seeing the light: surgical circadian rhythm.

The British journal of surgery·2021
Same author

Coaching to enhance qualified surgeons' non-technical skills: a systematic review.

The British journal of surgery·2021
Same author

Evidence, not eminence, for surgical management during COVID-19: a multifaceted systematic review and a model for rapid clinical change.

BJS open·2021
Same author

COVID-19: a test of evidence-based surgery.

The British journal of surgery·2021
Same author

Deaths in Incorrectly Identified Low-Surgical-Risk Patients.

World journal of surgery·2018
Same author

Processes of care in surgical patients who died with hospital-acquired infections in Australian hospitals.

The Journal of hospital infection·2017
Same journal

Prevalence of Steatosis Hepatis in the <i>Eurotransplant</i> Region: Impact on Graft Acceptance Rates.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·2018
Same journal

Proposal of Two Prognostic Models for the Prediction of 10-Year Survival after Liver Resection for Colorectal Metastases.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·2018
Same journal

The Falciform Ligament for Mesenteric and Portal Vein Reconstruction in Local Advanced Pancreatic Tumor: A Surgical Guide and Single-Center Experience.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·2018
Same journal

Temporary CBD Stenting with a Nelaton Tube Is a More Practical and Safer Option Than T-Tube Drainage after Conventional CBD Exploration for Choledocholithiasis.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·2018
Same journal

The Role of Normothermic Perfusion in Liver Transplantation (TRaNsIT Study): A Systematic Review of Preliminary Studies.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·2018
Same journal

Nonoperative Management May Be a Viable Approach to Plexiform Neurofibroma of the Porta Hepatis in Patients with Neurofibromatosis-1.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·2018
See all related articles

A novel water jet dissector significantly reduces blood loss during major hepatic resections for liver tumors. This technique shows promising results for minimizing hemorrhage and transfusion needs in complex liver surgeries.

Area of Science:

  • Hepatobiliary Surgery
  • Surgical Technology
  • Oncology

Background:

  • Hemorrhage is a primary cause of mortality and morbidity in major hepatic resections.
  • Minimizing blood loss is critical for improving patient outcomes in liver surgery.

Purpose of the Study:

  • To evaluate the efficacy of a high-pressure, high-velocity water jet dissector in hepatic parenchymal transection.
  • To compare blood loss and transfusion requirements between water jet dissection and the traditional tissue fracture technique.

Main Methods:

  • A retrospective analysis of 67 major hepatic resections for solid hepatic tumors.
  • Comparison of outcomes between patients undergoing water jet dissection (n=16) and tissue fracture technique (n=51).
  • Assessment of operative duration, estimated blood loss, and transfusion requirements.

Related Experiment Videos

Main Results:

  • No significant difference in operative duration between the two techniques (p = .499).
  • Mean estimated blood loss was lower with the water jet dissector (1386 ml) compared to the tissue fracture technique (2450 ml) (p = .217).
  • Transfusion requirements were significantly reduced in the water jet group (mean 2.0 units) versus the tissue fracture group (mean 5.2 units) (p = .023).

Conclusions:

  • The water jet dissector is an encouraging new technology for hepatic resection.
  • Preliminary results suggest the water jet dissector can effectively diminish blood loss during liver surgery.
  • This technique may lead to reduced transfusion needs and improved patient safety in hepatic resections.