Lessons Learned from the First 100 Laparoscopic Liver Resections: Not Delaying Conversion May Allow Reduced Blood Loss and Operative Time
Journal of Laparoendoscopic & Advanced Surgical Techniques2012Vol. 22(5), pp. 425–431
Citations Over TimeTop 17% of 2012 papers
Renato Costi, Olivier Scatton, Luciana Haddad, Bruto Randone, Wellington Andraus, Pierre‐Philippe Massault, Olivier Soubrane
Abstract
Liver resection by laparoscopy is feasible and safe, implying low intraoperative blood loss. Not perfect physical conditions, cirrhosis, high body mass index, and, intraoperatively, blood loss and the necessity of a Pringle maneuver should be considered risk factors for conversion. A meticulous dissection by bipolar coagulation, Harmonic(®) (Ethicon) scalpel, and ultrasound dissector, other than the attitude not to delay conversion in difficult cases, may allow for low blood loss without prolongation of operative time, with a possible, slight increase of the conversion rate.
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