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Clamp Crushing Liver Resection

Since the Kelly clamp crushing technique shortens operative time and there is no significant difference in blood loss and in results of liver function tests compared to using the ultrasonic dissector we propose that the Kelly clamp crushing technique should be considered as a standard method of liver resection

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Introduction of clamp crushing liver resection
  • TechnologyAssisted Versus ClampCrush Liver Resection
    TechnologyAssisted Versus ClampCrush Liver Resection

    A systematic review of clinical studies comparing liver resection using vessel sealing systems VSSsLigaSure Cavitron Ultrasonic Surgical Aspirator CUSA or radiofrequency dissecting sealer RFDS with the conventional clampcrushing technique CC was performed

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  • Usefulness of Kelly clamp crushing technique during
    Usefulness of Kelly clamp crushing technique during

    Since the Kelly clamp crushing technique shortens operative time and there is no significant difference in blood loss and in results of liver function tests compared to using the ultrasonic dissector we propose that the Kelly clamp crushing technique should be considered as a standard method of liver resection

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  • Clampcrush technique seems to be the method of choice in
    Clampcrush technique seems to be the method of choice in

    Jan 21 2009 Clampcrush technique seems to be the method of choice in liver parenchymal transection Liver resection removal of a part of the liver is performed mainly for cancerous and noncancerous tumours in the liver About 1000 liver resections are

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  • Hepatectomy using traditional Pan clampcrushing
    Hepatectomy using traditional Pan clampcrushing

    Between October 2002 and May 2007 421 patients underwent liver resection at Juntendo University Hospital Among them we reviewed a cohort of 380 adult patients who were considered for elective hepatic resection with the clampcrushing technique using intermittent Pringle maneuver

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  • Sharp liver transection versus clamp crushing technique in
    Sharp liver transection versus clamp crushing technique in

    The clamp crushing technique sacrifices at least 12 cm of normal liver parenchyma during each application of the clamp as this is the space occupied by the closed blades of the clamp By contrast sharp transection can achieve satisfactory oncologic margins with minimal sacrifice of normal liver

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  • Clampcrushing vs radiofrequencyassisted liver resection
    Clampcrushing vs radiofrequencyassisted liver resection

    BackgroundAims Liver resection is the gold standard in managing patients with metastatic or primary liver cancer The aim of our study was to compare the traditional clampcrushing technique to the radiofrequencyassisted liver resection technique in terms of postoperative liver function

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  • RadiofrequencyAssisted Liver Resection With a Comb
    RadiofrequencyAssisted Liver Resection With a Comb

    In liver surgery clampcrushing CC procedure has been shown to be the most efficient system for liver transection Recently it has been suggested that radiofrequencyassisted liver resection RFALR may be more advantageous but sufficient evidence has yet to be accumulated Method The control group was constituted by 32 patients

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  • BiClamp forcep liver transection versus clamp crushing
    BiClamp forcep liver transection versus clamp crushing

    Apr 30 2015 Various devices for liver parenchymal transection have been developed to reduce intraoperative blood loss The goal of this study is to evaluate the safety and effectiveness of BiClamp forcep transection compared to a clamp crushing technique in patients undergoing liver resection

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  • Clampcrush technique vs radiofrequencyassisted liver
    Clampcrush technique vs radiofrequencyassisted liver

    Conclusions Clampcrush LR is reliable and results in the same amount of blood loss and a shorter operating time compared with RFLR Radiofrequencyassisted LR is a unique simple and safe method of resection which may be indicated in cirrhotic patients with high MELD scores

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  • Randomized clinical trial of stapler versus clampcrushing
    Randomized clinical trial of stapler versus clampcrushing

    Various devices have been developed to facilitate liver transection and reduce blood loss in liver resections None of these has proven superiority compared with the classical clampcrushing technique This randomized clinical trial compared the effectiveness and safety of stapler transection with that of clampcrushing during open liver resection

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  • Randomized clinical trial of BiClamp forceps versus clamp
    Randomized clinical trial of BiClamp forceps versus clamp

    The aim of this trial was to compare the efficacy and safety of BiClamp forceps with the goldstandard clampcrushing technique for open liver resection Methods From October 2014 to May 2016 86 consecutive patients scheduled to undergo hepatic resection were randomized to a BiClamp forceps group n 43 or to a clampcrushing

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  • Clampcrush technique vs radiofrequencyassisted liver
    Clampcrush technique vs radiofrequencyassisted liver

    Clampcrush technique vs radiofrequencyassisted liver resection for primary and metastatic liver neoplasms Author links open overlay panel Spiros Delis 1 2 Andreas Bakoyiannis 2 Nikos Tassopoulos 3 Kostas Athanassiou 2 John Papailiou 4 Elisa N Brountzos 5 Juan Madariaga 1 Pavlos Papakostas 6 Christos Dervenis 2

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  • Randomized clinical trial of stapler versus clampcrushing
    Randomized clinical trial of stapler versus clampcrushing

    Patients admitted for elective open liver resection between January 2010 and October 2011 were assigned randomly to stapler transection or the clampcrushing technique The primary endpoint was the total amount of intraoperative blood loss

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  • Techniques of hepatic resection Aragon Journal of
    Techniques of hepatic resection Aragon Journal of

    A trial from Switzerland randomized 100 patients without cirrhosis or cholestasis to undergo liver resection using one of four methods crushclamp ultrasonic dissector water jet or dissecting sealer The patients randomized to the crushclamp technique all underwent major hepatectomy with vascular inf low occlusion using a continuous

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  • BiClamp forcep liver transection versus clamp crushing
    BiClamp forcep liver transection versus clamp crushing

    Since the introduction of the clamp crushing technique in 1973 this technique has become the gold standard for liver parenchymal transection due to its effectiveness in controlling blood loss reduction in operative time and low cost

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  • Usefulness of Kelly clamp crushing technique during
    Usefulness of Kelly clamp crushing technique during

    People undergoing liver resection using continuous vascular occlusion had lower blood loss than people with no vascular occlusion when the parenchymal transection was carried out with clampcrush

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  • Randomized clinical trial of radiofrequencyassisted
    Randomized clinical trial of radiofrequencyassisted

    Surgical resection remains the treatment of choice for primary and secondary liver cancer Complications are mainly related to blood loss Radiofrequencyassisted liver resection RFR has been proposed for parenchymal division as an alternative to clamp crushing

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  • A Simplified Technique for Hepatic Resection The Crush
    A Simplified Technique for Hepatic Resection The Crush

    Abstract A new technique of hepatic lobectomy with combined use of hepatic clamp and liver crush clamp is described It is a simplification of the original finger fracture technique by using instruments instead of fingers for hepatic resection It provides the unexperienced with a technique of hepatic resection done in the shortest possible time

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  • Sharp liver transection versus clamp crushing technique in
    Sharp liver transection versus clamp crushing technique in

    In the clamp crushing group liver transection was carried out by crushing liver parenchyma with serially applied Kelly clamps The vascular and biliary radicals were identified and clamped only on the liver remnant side Ligation was performed by placing running sutures of polypropylene 30 over the clamps

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  • ClampCrushing versus stapler hepatectomy for CiteSeerX
    ClampCrushing versus stapler hepatectomy for CiteSeerX

    Patients scheduled for elective hepatic resection without extrahepatic resection at the Department of General Visceral and Transplantation Surgery University of Heidelberg are enrolled into the trial and randomized intraoperatively to hepatic resection by the clampcrushing technique and stapler hepatectomy respectively

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  • Techniques of hepatic resection PubMed Central PMC
    Techniques of hepatic resection PubMed Central PMC

    Dec 06 2011 A trial from Switzerland randomized 100 patients without cirrhosis or cholestasis to undergo liver resection using one of four methods crushclamp ultrasonic dissector water jet or dissecting sealer The patients randomized to the crushclamp technique all underwent major hepatectomy with vascular inflow occlusion using a continuous Pringle maneuver as opposed to the

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  • Parenchyma Resection of Cirrhotic Liver by the Clamp
    Parenchyma Resection of Cirrhotic Liver by the Clamp

    Oct 01 2008 Parenchyma Resection of Cirrhotic Liver by the Clamp Crushing Technique and the Ultrasonic Dissector SECCI The safety and scientific validity of this study is the responsibility of the study sponsor and investigators Listing a study does not mean it has been evaluated by the US Federal Government Read our disclaimer for details

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