Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome
Year: 2024
Type: article
Abstract: Purpose: The study aimed to evaluate the results of a bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of hepatocellular carcinoma (HCC).Patients and methods: A prospective descriptive study was performed on 67 patients from August 2021 to April 2022 (6 months).Results: The mean age was 56±12 years (14-76).Durations for right and left Glisson pedicle control were 3.44±1.65and 4.58±4.05minutes, respectively, while those for anterior and posterior pedicle control were 6.12±4.05and 6.08±3.79minutes, respectively.The mean blood loss during pedicle control was 21.88±14.02ml; there were no complications during pedicle transection.The average time of parenchymal resection was 33.96±12.32minutes, the average intraoperative blood loss was 211.79±125.41ml, and there was one patient requiring intraoperative blood transfusion.All 3 cases of intraoperative complications were hepatic vein laceration.The overall rate of postoperative complications was 2.98%, of which postoperative liver failure accounted for 1.49%.The average number of days in hospital postoperatively was 8 days, the shortest was 6 days and the longest was 15 days.The rate of in-hospital mortality was 0%.Conclusion: The bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of HCC is safe and effective.
Authors: Ham Hoi Nguyen, Thanh Khiem Nguyen, Van Duy Le, Van Minh Do, Tuan Hiep Luong, Hoan My Pham, Kim Khue Dang, Cong Long Nguyen, Ngoc Hung Nguyen
Language: English
Subfield: Hepatology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4405820819