Journal
ANNALS OF SURGERY
Volume 243, Issue 2, Pages 169-172Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.sla.0000197380.33169.6e
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Objective: To demonstrate the use of Chang's needle for hepatic resections. Summary Background Data: Specialized instruments, fine surgical skills, and good control of hepatic inflow and backflow are essential for hepatic resections. This needle was specifically designed to simplify these requirements. Methods: Whole-thickness interlocking sutures of the liver can first be made along the designed resection line with a Chang's needle; then parenchyma transection can follow without inflow or backflow control. This was consecutively performed on 69 patients with primary (41), metastatic (10), and benign (18) diseases since 1997. Results: Blood loss during parenchyma transection was reduced in I I right lobectomies (652 mL), 1 3-segmentectomy (300 mL), 14 bisegmentectomies (252 mL), 7 segmentectomics (104 mL), 12 subsegmentectornies (19 mL), 5 wedge resections (7 mL), 18 left lateral segmentectomies (110 mL), and I hepatorrhaphy (minimal). There was no procedure-related mortality. A mild bile leakage occurred in I case (1.5%) but healed spontaneously. Conclusions: The preliminary results demonstrate that this maneuver is a simple, easy, and safe method for performing hepatic resections.
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