Hepatic resection using stapling devices.
BACKGROUND
The progress and development of stapling devices has been remarkable. They have become indispensable for gastrointestinal diseases and are increasingly utilized in laparoscopic operations. Liver surgery applications for this technique are continuing to emerge, and in this study, we introduced the use of stapling devices to hepatic surgery.


METHODS
We examined the operative procedure and efficacy of hepatic resections using stapling devices as follows: transection of Glisson's pedicle and the hepatic vein using endolineal stapling devices in right and left lobectomies; bisegmentectomy II and III en masse using a stapling device; and application of endolineal stapling devices to vessel transections and dissections of the hepatic parenchyma in laparoscopic hepatectomies.


RESULTS
It was considered useful to tactfully apply stapling devices to vessel transections and dissections of the hepatic parenchyma in order to simplify the operative procedures of right or left lobectomies and lateral segmentectomies. Furthermore, the use of endoscopic stapling devices was an acceptable alternative to vessel transactions and dissections of the hepatic parenchyma in laparoscopic hepatectomies.


CONCLUSIONS
We believe that stapling devices will become utilized in liver surgery hereafter.
Kaneko
Hironori
H
Second Department of Surgery, Toho University School of Medicine, 6-11-1 Omorinishi, Ota-ku, Tokyo 143-0015, Japan. hironori@med.toho-u.ac.jp
Otsuka
Yuichiro
Y
Takagi
Sumito
S
Tsuchiya
Masaru
M
Tamura
Akira
A
Shiba
Tadaaki
T
D006498:Hepatectomy / Q000295:instrumentation*; D006801:Humans; D013528:Surgical Staplers; D017792:Surgical Stapling / Q000295:instrumentation*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation