@article{oai:nagasaki-u.repo.nii.ac.jp:00006995,
 author = {Nanashima, Atsushi and Abo, Takafumi and Arai, Junichi and Takagi, Katsunori and Matsumoto, Hirofumi and Takeshita, Hiroaki and Tsuchiya, Tomoshi and Nagayasu, Takeshi},
 issue = {9},
 journal = {International Journal of Surgery},
 month = {},
 note = {Background: Blood loss during resection of the hepatic parenchyma in hepatectomy can be minimized using vessel-sealing (VS) devices. Some sealing devices were retrospectively compared to evaluate the efficacy of each device for controlling blood loss, transection time and postoperative complications in hepatectomy as a cohort study. Methods: Between 2005 and September 2012, hepatectomy was underwent in 150 patients using one of three types of LigaSure™ (Dolphin Tip Laparoscopic Instrument, Precise or Small Jaw) or the Harmonic Focus or Ace ultrasonic dissecting sealer. Results were compared to crush-clamping alone as the control method by the historical study (n=81). Results: Irrespective of the vessel-sealing device used for underlying chronic hepatitis, blood loss, blood transfusion rate, operating time and transection time were significantly reduced in the VS group compared with controls (p<0.05). Rates of postoperative bile leakage and intra-abdominal abscess formation were significantly lower in the VS group than in controls (p<0.05). Comparing devices, LigaSure Small Jaw and Harmonic Focus showed lower blood loss, shorter transection time and reduced rates of post-hepatectomy complications, in turn resulting in shorter hospital stays (p<0.05). Tendencies toward uncontrolled ascites and bile leakage were only concern with the use of Harmonic Focus. Satisfactory surgical results were achieved using the sealing device for laparoscopic hepatectomy. Conclusions: The use of energy sealing devices improves surgical results and avoids hepatectomy-related complications. Adequate use of vessel sealers is necessary for safe and rapid completion of hepatic resection., International Journal of Surgery, 11(9), pp.891-897; 2013},
 pages = {891--897},
 title = {Usefulness of vessel-sealing devices combined with crush clamping method for hepatectomy: A retrospective cohort study},
 volume = {11},
 year = {2013}
}