Bleeding from the liver surface during hepatic transection is one of the main factors affecting mortality and morbidity of liver resection. For this reason, numerous devices have been developed that employ a variety of techniques to minimize parenchymal damage and so improve the safety of resection. This book describes all the devices that are currently available for hepatic transection via open, laparoscopic, and robotic approaches. Procedures are explained and illustrated step by step using informative color figures and photographs. This landmark reference in the field will be an ideal guide for liver surgeons as well as a valuable tool for students, residents, and general surgeons.

Inhalt

Preface.- Introduction.- Liver anatomy.- Bisbane liver classification.-Section 1: Open method for liver transection.- Ultrasonically activated device for parenchymal division during open hepatectomy.- Liver transaction using the LigaSure sealing system.- Blocking intrahepatic inflow and backflow using Chang's needle during hepatic resection: Chang's maneuver.- Liver transection using a vascular stapler: a review.- Liver resection with a bipolar radiofrequency device: Habib 4X.- Open hepatic parenchymal transection using ultrasonic dissection and bipolar coagulation.- Use of a dissecting sealer for hepatic resection.- The use of water-jet dissection in open and laparoscopic liver resection.- Usefulness of the Kelly clamp crushing technique during hepatic resection.- Curettage and aspiration dissection technique using Peng's multifunctional operative dissector (PMOD) for liver resection.- Liver resection using microwave tissue coagulation.- Section 2: Laparoscopic liver transection.- Application of devices for safe laparoscopic hepatectomy.- Parenchymal transection using saline-enhanced electrosurgery.- Laparosocpic liver resection using a bipolar vessel-sealing device.- The Laparoscopic Habib 4X.- Laparoscopic liver resection using a stapler device.- Section 3: Robotic liver transection tools and methods.