title: Ultrasonic-mediated laparoscopic liver transection.
abstract: Parenchymal liver transection represents a fundamental phase of liver surgery. Several devices have been described for safe and careful dissection of the liver parenchyma during laparoscopic liver surgery, but the ideal technique has not yet been defined. This report describes the combined use of ultrasonic dissector and the ultrasonic coagulating cutter for laparoscopic liver resection. The ultrasonic dissector is used to fracture the parenchyma along the line of proposed division, and the uncovered bridging structures are sealed using the ultrasonic coagulating cutter. The combined use of ultrasonic dissector and harmonic scalpel allows liver resection to be safely performed, with the advantage of minimal surgical complication and low blood losses.
authors.affiliation: Department of Surgery-Liver Unit, Scientific Institute San Raffaele, Vita-Salute San Raffaele University, Via Olgettina, 60, 20132, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Aldrighetti
authors.forename: Carlo
authors.initials: C
authors.lastname: Pulitanò
authors.forename: Marcella
authors.initials: M
authors.lastname: Arru
authors.forename: Marco
authors.initials: M
authors.lastname: Catena
authors.forename: Eleonora
authors.initials: E
authors.lastname: Guzzetti
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Casati
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Ferla
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D004564:Electrocoagulation / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D012494:Sampling Studies; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation* / Q000379:methods