@article{oai:nagasaki-u.repo.nii.ac.jp:00017091, author = {Takatsuki, Mitsuhisa and Eguchi, Susumu and Yamanouchi, Kosho and Tokai, Hirotaka and Hidaka, Masaaki and Soyama, Akihiko and Miyazaki, Kensuke and Hamasaki, Koji and Tajima, Yoshitsugu and Kanematsu, Takashi}, issue = {2}, journal = {The American Journal of Surgery}, month = {Feb}, note = {Background: Saline-linked electric cautery (SLC) is introduced as an effective device to reduce blood loss in liver surgery. The aim of this study is to evaluate the safety and efficacy of two-surgeon technique using SLC and Cavitron Ultrasonic Surgical Aspirator (CUSA) in living donor hepatectomy. Methods: Forty-three living donor right hepatectomies were enrolled in this study. The first 28 cases underwent liver transection with CUSA alone (CUSA group), while additional SLC was applied in the current 15 cases (two-surgeon technique, TS group). Results: Blood loss was significantly reduced by two-surgeon technique (1115.2±652.9g in CUSA group vs 732.3±363.6g in TS group, p<0.05). In the TS group, there was no bile leakage from the cut surface. The early graft function and postoperative recipient survival were not significantly different between the groups. Conclusions: According to our single center experience, blood loss and donor complications were significantly reduced by two-surgeon technique using CUSA and SLC, with maintaining the graft viability., The American Journal of Surgery, 197(2), pp.e25-e27; 2009}, pages = {e25--e27}, title = {Two-surgeon technique using saline-linked electric cautery and ultrasonic surgical aspirator in living donor hepatectomy: its safety and efficacy}, volume = {197}, year = {2009} }