[Dissection techniques in liver surgery].
The first liver resection was performed in 1888. Since then a wide variety of dissection techniques have been introduced. The blunt dissection was replaced by novel methods, i.e. the CUSA technique and the Jet Cutter for major liver resections. These methods represent selective dissection techniques; whereas non-selective methods include the scalpel, scissors, linear stapling cutter, high-frequency coagulation, and the laser technique. The aim of this review article is the comparison of the different resection techniques in liver surgery, focussing on blood loss and resection time.
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern der Ludwig-Maximilians-Universität, München.
H G
HG
Rau
R
R
Schauer
S
S
Pickelmann
B C
BC
Beyer
M K
MK
Angele
A
A
Zimmermann
G
G
Meimarakis
O
O
Heizmann
F W
FW
Schildberg
D016063:Blood Loss, Surgical / Q000517:prevention & control; D001803:Blood Transfusion; D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000601:surgery; D004210:Dissection / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000601:surgery*; D008113:Liver Neoplasms / Q000401:mortality / Q000556:secondary / Q000601:surgery; D011183:Postoperative Complications; D013997:Time Factors; D014465:Ultrasonics