Sharp liver transection versus clamp crushing technique in liver resections: a prospective study. Smyrniotis V(1), Arkadopoulos N, Kostopanagiotou G, Farantos C, Vassiliou J, Contis J, Karvouni E. Author information: (1)Second Department of Surgery,Athens University Medical School, Aretaieion Hospital, Greece.
Surgical resection remains the treatment of choice for primary and secondary liver cancer. Complications are mainly related to blood loss. Radiofrequency‐assisted liver resection (RF‐R) has been proposed for parenchymal division as an alternative to clamp crushing in order to reduce blood loss.
· Radiofrequency-assisted liver resection (RF-R) has been proposed for parenchymal division as an alternative to clamp crushing in order to reduce blood loss. Methods Fifty patients (median age 62 (range 30–82) years) undergoing hepatectomy were randomized to RF-R (24 patients) or the clamp-crushing method (26).
· Usefulness of Kelly clamp crushing technique during hepatic resection. S. G. Lee, Department of Surgery, Asan Medical Center, Division of HBP Surgery and Liver Transplantation, University of Ulsan College of Medicine, 388-1, Pungnap-2dong, Songpa-gu, Seoul, Korea, Phone: +82-2-3010-3485, Fax: +82-2-474-9027, Email: [email protected]
· Chen JM, Geng W, Liu FB, Zhao HC, Xie SX, Hou H, Zhao YJ, Wang GB, Geng XP. BiClamp® forcep liver transection versus clamp crushing technique for liver resection: study protocol for a randomized controlled trial. Trials. 2015 Apr 30;16:201. doi: 10.1186/s13063-015-0722-1.
· The clamp crushing avoids special equipment with similar or faster transection speed thus making it the most cost-effective technique which is 2 to 6 times cheaper than other methods depending on the number of surgeries performed each year [9, 24–28].
A trial from Switzerland randomized 100 patients without cirrhosis or cholestasis to undergo liver resection using one of four methods: crush-clamp, ultrasonic dissector, water jet, or dissecting sealer . The patients randomized to the crush-clamp technique all underwent major hepatectomy with vascular inf low occlusion using a continuous ...
· Clamp crushing technique can be use for hepatic resection due to its speed, ease, inexpensive cost and it can be performed with minimal complications. The following evidenced-based case report aims to show the advantages of using clamp-crushing technique for a pediatric hepatoblastoma case. 2. Case report.
· The shape of BiClamp® is similar to a typical clamp; therefore, it can be used in liver transection similar to the clamp-crushing technique, and the device''s coagulation function may address limitations in the clamp-crushing technique. Uchiyama and colleagues used BiClamp® in laparoscopic partial hepatectomy . The median tumour diameter of ...
Sixty-one LLRs were performed using the clamp-crush technique. Pathological cirrhosis was observed in 22 patients (36.0%). The types of resection were as follows: 31 wedge resections (50.8%), 11 segmentectomies (19.0%), 9 sectionectomies (14.8%), and 10 hemihepatectomies (16.4%).
· 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 clamp-crushing technique and stapler hepatectomy, respectively.
Surgical outcomes were compared with 100 consecutive patients who underwent liver resection using the clamp crushing method. Operative variables, postoperative liver function, hospital stay, and type and number of complications were compared. The two groups were equivalent in term of demographic and pathologic variables. The UD + HS group had a ...
Surgical Procedures: The crushing clamp in opposition to the intestinal occlusion clamp is used to crush the diseased part of the gut in resection anastomosis as mentioned above. The resection anastomosis is a surgical procedure in which diseased part of the gut is …
· A multivariable analysis revealed that estimated blood loss, liver transection method, number of tumors, and curative resection were independent risk factors associated with early local recurrence. Conclusions: The clamp crushing method may reduce early local recurrence compared with the direct LigaSure crushing method after hepatectomy in HCC ...
A systematic review of clinical studies comparing liver resection using vessel sealing systems (VSSs - LigaSure), Cavitron Ultrasonic Surgical Aspirator (CUSA), or radiofrequency dissecting sealer (RFDS) with the conventional clamp-crushing technique (CC) was performed. Data for each modality were synthesized and individually compared with CC ...
· To identify the most efficient parenchyma transection technique for cirrhotic liver resection between the clamp crushing technique and the ultrasonic dissector. Primary endpoint is intra-operative blood loss during liver transection (ml). Expected results and implications: If one of the technique is better than the other, surgical teams could ...
The clamp crushing technique was the most efficient device in terms of resection time, blood loss, and blood transfusion frequency compared with CUSA, Hydrojet, and dissecting sealer, and proved ...
· Clamp-crush 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 non-cancerous tumours in the liver. About 1000 liver resections are performed each year in the United Kingdom. Blood loss during liver resection is one of the main ...
Clamp-crush 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 non-cancerous tumours in the liver. About 1000 liver resections are performed each year in the United Kingdom. Blood loss during liver resection is one of the main ...
Sentence examples for clamp-crush from inspiring English sources. exact ( 1 ) Conflicting results were found between radiofrequency-assisted liver resection (RF-LR) and clamp-crush liver resection (CC-LR) during liver surgery. 1.
Patients admitted for elective open liver resection between January 2010 and October 2011 were assigned randomly to stapler transection or the clamp‐crushing technique. The primary endpoint was the total amount of intraoperative blood loss.
Hemorrhage and postoperative liver insufficiency are frequent and serious complications of hepatic resection in cirrhotic patients. The aim of this study was to assess retrospectively whether the surgical techniques using Kelly clamp crushing resection or heat coagulative necrosis with a bipolar radiofrequency device can reduce the incidence of the above complications and an eventual ...
· Chen, Z. B. et al. Microwave-assisted liver resection vs. clamp crushing liver resection in cirrhosis patients with hepatocellular carcinoma. Int. J. Hyperthermia 34, 1359–1366.
· After introduction of the clamp-crushing technique in the 1970s, various devices have been developed for transection of the liver with the aim of further reducing blood loss and improving the outcome of patients who undergo hepatic resection. We performed a meta-analysis to quantitatively compare the clamp-crushing technique to any subsequently introduced transection technique with …
The clamp crushing technique was the most efficient device in terms of resection time, blood loss, and blood transfusion frequency compared with CUSA, Hydrojet, and dissecting sealer, and proved to be also the most cost-efficient device.
important process in laparoscopic liver resection (LLR). Various surgical methods and devices for LLR have been applied including the cavitron ultrasonic surgical aspirator, ultrasonic scalpel, and staplers. Very few reports have investigated the clamp–crush technique for LLR.1,2 Current study shows a clamp–crush technique for LLR and evalu-
· BACKGROUND/AIMS: 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 clamp-crushing technique to the radiofrequency- assisted liver resection technique in …
Sixty-one LLRs were performed using the clamp-crush technique. Pathological cirrhosis was observed in 22 patients (36.0%). The types of resection were as follows: 31 wedge resections (50.8%), 11 segmentectomies (19.0%), 9 sectionectomies (14.8%), and 10 hemihepatectomies (16.4%).
clamp for blunt dissection (clamp crushing) [33]. A randomized prospective study has evaluated 100 patients without cirrhosis or cholestasis to liver resection using one of four methods: crush-clamp, ultrasonic dissector, water jet, or dissecting sealer. Those patients randomized to crush-clamp
Purpose: This study aimed to evaluate the safety and effectiveness of microwave-ablation-assisted liver resection (MW-LR) and clamp crushing liver resection (CC-LR) in cirrhotic patients with hepatocellular carcinoma (HCC). Materials and methods: From July 2005 to January 2015, cirrhotic HCC patients who underwent CC-LR (n = 191) or MW-LR (n = 112) were retrospectively analysed.
This study was designed to compare ultrasonic vs clamp transection of the liver. Eligibility criteria included partial hepatectomy for tumor resection or graft harvest, hepatic function of Child-Pugh class A or B, acceptable clotting profile (platelet count >5 × 10 3 /µL and prothrombin activity >60%), and adequate functional reserve of the heart, lungs, and kidneys.
· Surgical resection remains the optimal therapy for cirrhotic patients with hepatocellular carcinoma (HCC) that are not suitable for liver transplantation (LT). Recently, various innovative techniques for liver resection have been developed. The aim of the study was to compare radiofrequency-assisted parenchyma transection (RF-PT) with the traditional clamp-crushing (CC) …
· 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. Methods/Design This study will include patients 18 years and older scheduled for hepatectomy with hepatic vascular exclusion who give informed consent.
The clamp crushing technique was the most efficient device in terms of resection time, blood loss, and blood transfusion frequency compared with CUSA, Hydrojet, and dissecting sealer, and proved ...
