The technical aspect of the gastroepiploic artery graft skeletonization with the harmonic scalpel: the samurai technique.
A novel skeletonization technique using the scissors-type harmonic scalpel (Ethicon Endo-Surgery, Cincinnati, OH, USA) is presented. This "samurai technique," which uses the harmonic scalpel by frequently turning over the scissors, facilitates the handling of the gastroepiploic artery, enlarges the caliber size, and allows easy skeletonization without any vessel injury.
Kamiya
Hiroyuki
H
Department of General and Cardiothoracic Surgery, Kanazawa University Hospital, Kanazawa, Japan. hkamiya88@yahoo.co.jp
Watanabe
Go
G
Tomita
Shigeyuki
S
Takemura
Hirofumi
H
Nagamine
Hiroshi
H
Nishida
Satoru
S
D001026:Coronary Artery Bypass; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006801:Humans; D013525:Surgical Instruments; D023822:Tissue Engineering / Q000295:instrumentation* / Q000379:methods*; D020858:Tissue and Organ Harvesting; D014465:Ultrasonics