title: Laparoscopic liver surgery: parenchymal transection using saline-enhanced electrosurgery.
abstract: Minimally invasive liver resection (MILR) has evolved considerably in the past decade. Safe hepatic parenchymal transection, has been one of the technical hurdles that has become evident during the growth of MILR. Advances in technology have now made safe liver transection a reality allowing resections of greater magnitude. In this review, the precoagulation approach is described in both methodology and technique. Using this method of liver transection, we have been able to perform MILR of all varieties and magnitudes, with favorable patient outcomes. A detailed description of one particular device will be highlighted to disseminate our experience and thus broaden the technical options for hepatobiliary surgeons wishing to offer their patients a minimally invasive therapy.
authors.affiliation: William Beaumont Hospital, Royal Oak, MI, USA. akoffron@nmh.org
authors.forename: A J
authors.initials: AJ
authors.lastname: Koffron
authors.forename: J A
authors.initials: JA
authors.lastname: Stein
references.citation: Arch Surg. 2001 May;136(5):569-75
references.pmid: 11343549
references.citation: HPB (Oxford). 2007;9(3):166-73
references.pmid: 18333217
references.citation: Ann Surg. 2007 Sep;246(3):385-92; discussion 392-4
references.pmid: 17717442
references.citation: Ann Surg. 2002 Jul;236(1):90-7
references.pmid: 12131090
references.citation: Arch Surg. 2001 Aug;136(8):922-8
references.pmid: 11485528
references.citation: Ann R Coll Surg Engl. 2002 Nov;84(6):371-80
references.pmid: 12484574
references.citation: Hepatology. 2006 Dec;44(6):1694-700
references.pmid: 17133494
references.citation: Ann Surg. 2006 Nov;244(5):815-20
references.pmid: 17060776
references.citation: Ann Surg. 1999 Mar;229(3):369-75
references.pmid: 10077049
references.citation: Ann Surg. 2005 Dec;242(6):814-22, discussion 822-3
references.pmid: 16327491
references.citation: Surgery. 2004 Oct;136(4):926-36
references.pmid: 15467680
references.citation: J Gastrointest Surg. 2004 Feb;8(2):213-6
references.pmid: 15036198
references.citation: Am J Transplant. 2006 Oct;6(10):2522-5
references.pmid: 16889605