Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome
Purpose: The study aimed to evaluate the results of a bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of hepatocellular carcinoma (HCC). Patients and methods: A prospective descr...
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| Format: | Article |
| Language: | English |
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Vietnam Ministry of Science and Technology
2024-12-01
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| Series: | Vietnam Journal of Science, Technology and Engineering |
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| Online Access: | https://vietnamscience.vjst.vn/index.php/vjste/article/view/1243 |
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| author | Ham Hoi Nguyen Thanh Khiem Nguyen Van Duy Le Van Minh Do Tuan Hiep Luong Hoan My Pham Kim Khue Dang Cong Long Nguyen Ngoc Hung Nguyen |
| author_facet | Ham Hoi Nguyen Thanh Khiem Nguyen Van Duy Le Van Minh Do Tuan Hiep Luong Hoan My Pham Kim Khue Dang Cong Long Nguyen Ngoc Hung Nguyen |
| author_sort | Ham Hoi Nguyen |
| collection | DOAJ |
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Purpose: The study aimed to evaluate the results of a bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of hepatocellular carcinoma (HCC). Patients and methods: A prospective descriptive study was performed on 67 patients from August 2021 to April 2022 (6 months). Results: The mean age was 56±12 years (14-76). Durations for right and left Glisson pedicle control were 3.44±1.65 and 4.58±4.05 minutes, respectively, while those for anterior and posterior pedicle control were 6.12±4.05 and 6.08±3.79 minutes, respectively. The mean blood loss during pedicle control was 21.88±14.02 ml; there were no complications during pedicle transection. The average time of parenchymal resection was 33.96±12.32 minutes, the average intraoperative blood loss was 211.79±125.41 ml, and there was one patient requiring intraoperative blood transfusion. All 3 cases of intraoperative complications were hepatic vein laceration. The overall rate of postoperative complications was 2.98%, of which postoperative liver failure accounted for 1.49%. The average number of days in hospital postoperatively was 8 days, the shortest was 6 days and the longest was 15 days. The rate of in-hospital mortality was 0%. Conclusion: The bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of HCC is safe and effective.
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| format | Article |
| id | doaj-art-76134a5eb90c44d99ef0c42cd7f3b4e7 |
| institution | Kabale University |
| issn | 2525-2461 2615-9937 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Vietnam Ministry of Science and Technology |
| record_format | Article |
| series | Vietnam Journal of Science, Technology and Engineering |
| spelling | doaj-art-76134a5eb90c44d99ef0c42cd7f3b4e72025-01-06T02:53:54ZengVietnam Ministry of Science and TechnologyVietnam Journal of Science, Technology and Engineering2525-24612615-99372024-12-0166410.31276/VJSTE.2023.0109Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcomeHam Hoi NguyenThanh Khiem NguyenVan Duy LeVan Minh DoTuan Hiep LuongHoan My PhamKim Khue DangCong Long NguyenNgoc Hung Nguyen Purpose: The study aimed to evaluate the results of a bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of hepatocellular carcinoma (HCC). Patients and methods: A prospective descriptive study was performed on 67 patients from August 2021 to April 2022 (6 months). Results: The mean age was 56±12 years (14-76). Durations for right and left Glisson pedicle control were 3.44±1.65 and 4.58±4.05 minutes, respectively, while those for anterior and posterior pedicle control were 6.12±4.05 and 6.08±3.79 minutes, respectively. The mean blood loss during pedicle control was 21.88±14.02 ml; there were no complications during pedicle transection. The average time of parenchymal resection was 33.96±12.32 minutes, the average intraoperative blood loss was 211.79±125.41 ml, and there was one patient requiring intraoperative blood transfusion. All 3 cases of intraoperative complications were hepatic vein laceration. The overall rate of postoperative complications was 2.98%, of which postoperative liver failure accounted for 1.49%. The average number of days in hospital postoperatively was 8 days, the shortest was 6 days and the longest was 15 days. The rate of in-hospital mortality was 0%. Conclusion: The bipolar vessel-sealing (LigaSure™) scalpel application for parenchymal resection combined with Glissonean pedicle transection using the Takasaki method in the treatment of HCC is safe and effective. https://vietnamscience.vjst.vn/index.php/vjste/article/view/1243bipolar vessel-sealing scalpelhepatocellular carcinomaTakasaki method |
| spellingShingle | Ham Hoi Nguyen Thanh Khiem Nguyen Van Duy Le Van Minh Do Tuan Hiep Luong Hoan My Pham Kim Khue Dang Cong Long Nguyen Ngoc Hung Nguyen Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome Vietnam Journal of Science, Technology and Engineering bipolar vessel-sealing scalpel hepatocellular carcinoma Takasaki method |
| title | Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome |
| title_full | Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome |
| title_fullStr | Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome |
| title_full_unstemmed | Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome |
| title_short | Hepatectomy using a bipolar vessel-sealing scalpel with Takasaki’s Glissonean pedicle transection method in hepatocellular carcinoma: A single-centre short-term outcome |
| title_sort | hepatectomy using a bipolar vessel sealing scalpel with takasaki s glissonean pedicle transection method in hepatocellular carcinoma a single centre short term outcome |
| topic | bipolar vessel-sealing scalpel hepatocellular carcinoma Takasaki method |
| url | https://vietnamscience.vjst.vn/index.php/vjste/article/view/1243 |
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