title: Usefulness of Kelly clamp crushing technique during hepatic resection.
abstract: BACKGROUND
  Recently, there are various kinds of parenchymal transection methods. The aim of this study is to evaluate the usefulness of the Kelly clamp crushing technique compared to ultrasonic dissector during hepatic resection.
  
  
  METHODS
  Comparisons between 10 ultrasonic dissector group and 10 Kelly clamp crushing technique group were performed by using nine items (transaction time, right lobe volume, perioperative transfusion, total bilirubin (TB), aspartate aminotransferase (AST), alanine aminotransferase (ALT), hospital stay, postoperative morbidity, in-hospital mortality).
  
  
  RESULTS
  The mean transection time in the Kelly clamp crushing technique group was 27+/-15.5 mins (range 15-60) and was 48+/-7.1 mins (range 35-60) in the ultrasonic dissector group (p<0.05), and no patients received transfusion in both groups.
  
  
  CONCLUSIONS
  Since the Kelly clamp crushing technique shortens operative time and there is no significant difference in blood loss and in results of liver function tests compared to using the ultrasonic dissector, we propose that the Kelly clamp crushing technique should be considered as a standard method of liver resection.
authors.affiliation: Department of HB Surgery and Liver Transplantation, College of Medicine University of Ulsan and Asan Medical Center, Seoul, Korea.
authors.forename: K H
authors.initials: KH
authors.lastname: Kim
authors.forename: S G
authors.initials: SG
authors.lastname: Lee
references.citation: Presse Med. 1952 Apr 16;60(26):549-51
references.pmid: 14948909
references.citation: Hepatogastroenterology. 2006 Nov-Dec;53(72):836-9
references.pmid: 17153435
references.citation: Ann Surg. 1953 Jun;137(6):787-96
references.pmid: 13051100
references.citation: Adv Surg. 2003;37:29-49
references.pmid: 12953626
references.citation: Arch Surg. 2001 Aug;136(8):922-8
references.pmid: 11485528
references.citation: Ann Surg. 1974 Sep;180(3):285-90
references.pmid: 4368356
references.citation: Ann Surg. 2005 Dec;242(6):814-22, discussion 822-3
references.pmid: 16327491