title: Harness Traction Technique (HARNESS): Novel Method for Controlling the Transection Plane During Laparoscopic Hepatectomy.
abstract: We present our experience using a novel method for controlling the transection plane, which we termed as the Harness Traction Technique (HARNESS) and evaluate its usefulness. From May 2009 to March 2012, laparoscopic hepatectomies using HARNESS were performed on 35 patients. After the superficial hepatic parenchyma on the line was transected at 1 to 2 cm depth, 5 mm tape was placed along the groove of the line and tied to prevent it from slipping off. Tape was tied and pulled using a forceps toward the best direction for minimizing the bleeding, moving the transection point to the appropriate position and creating good tension for parenchymal transection at the transection point. There were no conversions to laparotomy or intraoperative complications. HARNESS is useful for controlling the dissection line during laparoscopic hepatectomy, leading to precise and safe laparoscopic liver parenchymal dissection.
authors.affiliation: *Department of Surgery, Keio University, School of Medicine †Department of Surgery, Eiju General Hospital ‡Department of Surgery, Kitasato Institute Hospital, Tokyo §Department of Surgery, Saitama National Hospital, Saitama, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Itano
authors.forename: Go
authors.initials: G
authors.lastname: Oshima
authors.forename: Minoru
authors.initials: M
authors.lastname: Kitago
authors.forename: Keiichi
authors.initials: K
authors.lastname: Suzuki
authors.forename: Shigeo
authors.initials: S
authors.lastname: Hayatsu
authors.forename: Masahiro
authors.initials: M
authors.lastname: Shinoda
authors.forename: Yuta
authors.initials: Y
authors.lastname: Abe
authors.forename: Taizo
authors.initials: T
authors.lastname: Hibi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yagi
authors.forename: Naruhiko
authors.initials: N
authors.lastname: Ikoma
authors.forename: Satoshi
authors.initials: S
authors.lastname: Aiko
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kitagawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014143:Traction