The use of endo-GIA vascular staplers in liver surgery and their potential benefit: A review

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Peter Schemmer - , Universität Heidelberg (Autor:in)
  • Helmut Friess - , Universität Heidelberg (Autor:in)
  • Christos Dervenis - , Universität Heidelberg (Autor:in)
  • Jan Schmidt - , Universität Heidelberg (Autor:in)
  • Jürgen Weitz - , Universität Heidelberg (Autor:in)
  • Waldemar Uhl - , Universität Heidelberg (Autor:in)
  • Markus W. Büchler - , Universität Heidelberg (Autor:in)

Abstract

Stapling devices have been introduced for safety and to reduce the overall operative time in many surgical procedures. In hepatobiliary surgery, i.e. liver resection, several types of staplers are in use. While transection of hepatic vessels with vascular staplers is well established, their use in dissecting hepatic parenchyma has only been assessed recently. Its advantages were especially a low rate of biliary complications (i.e., bile fistulas, bilioma) and reduced bleeding. As expected, the operative time was decreased dramatically while both the complication rate in general and the overall costs for stapler hepatectomy were comparable with other techniques used in high-volume centers. Thus, endo-GIA vascular staplers can be safely used to dissect the hepatic parenchyma in a routine clinical setting with low incidence of surgical complications.

Details

OriginalspracheEnglisch
Seiten (von - bis)300-305
Seitenumfang6
Fachzeitschriftigestive surgery : official journal of the International Society for Digestive Surgery (ISDS) and European Digestive Surgery (EDS)
Jahrgang24
Ausgabenummer4
PublikationsstatusVeröffentlicht - Juli 2007
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

PubMed 17657156

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Liver resection, Parenchymal transection, Stapler, Stapler hepatectomy, technique